Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 20A6022 | CA |
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 20A6022 | CA |
NPI | 1699753822 |
---|---|
Provider Name | Dr. Jon K Thiringer |
First Address | Hillsboro, OR 97123-4287 |
Second Address | Hillsboro, OR 97123-4285 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2006 |
Last Update Date | 30/05/2008 |