NPI 1407527369
Thomas Kowalski, IDHS
Practice location
- Address
- 6767 N Basin Ave, Portland, OR 97217-3929
- Phone
- (503) 240-9343
- Mailing address
- 11408 NE 128th Pl, Vancouver, WA 98682-1784
Registered specialties
Independent Duty Corpsman
Primary
Registry record
- NPI
- 1407527369
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 21 Sep 2021
- Record last updated
- 18 Oct 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.