Search › Oregon › 253J00000X
Thomas Mutai
NPI 1205682218 · on the registry since 2024 · sole proprietor
Practice
- Address
- 16930 Se Kelly St
Portland, OR 97236 - Phone
- (785) 861-0023
- Fax
- (607) 600-2230
Registry record
- Primary taxonomy
- 253J00000X
253J00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-04-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon