Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 048856L | PA |
Y | 208600000X | Surgeon | 048856L | PA |
NPI | 1013988203 |
---|---|
Provider Name | Dr. Joseph Francis Homann |
First Address | Portland, OR 97205-1047 |
Second Address | Tacoma, WA 98431-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2006 |
Last Update Date | 17/06/2020 |