Whalio Doctors

NPI 1619208667

Thomas H Manseau

Practitioner Radiologic Technologist Beaverton, OR

Practice location

Address
6160 SW Arctic Dr, Beaverton, OR 97005-9448
Phone
(503) 646-7777
Fax
(503) 786-9729
Mailing address
PO Box 66500, Portland, OR 97290-6500

Registered specialties

Radiologic Technologist Primary
Technologists, Technicians & Other Technical Service Providers Taxonomy 247100000X Licence 107446 (OR)

Registry record

NPI
1619208667
Entity type
Individual
Sex (as registered)
Male
NPI issued
14 Jan 2010
Record last updated
14 Jan 2010

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.