NPI 1316618044

Nik Thanasouk

Practitioner Contractor Happy Valley, OR

Practice location

Address: 13636 SE Callahan Rd, Happy Valley, OR 97086-6022
Phone: (503) 317-1531

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1316618044
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Sep 2021
Record last updated: 22 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.