Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | MD13772 | OR |
Y | 208600000X | Surgeon | MD13772 | OR |
N | 2082S0105X | Plastic Hand Surgeon | MD13772 | OR |
NPI | 1851353668 |
---|---|
Provider Name | Dr. Thomas Dreyer |
First Address | Eugene, OR 97401-6019 |
Second Address | Eugene, OR 97401-6019 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2006 |
Last Update Date | 05/12/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
189902 | (05) | OR |
C92535 | (02) | OR |