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Destiny Thomas
NPI 1841810256 · on the registry since 2020 · sole proprietor
Practice
- Address
- 2544 Ne Clackamas St
Portland, OR 97232 - Phone
- (503) 975-3257
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 251E00000X
251E00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-04-26
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