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NPI Code Detail

MEDICARE: THOMAS DESHLER PC

MEDICARE: THOMAS DESHLER PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1750270641
Entity Type Code : Organization
Provider Name (Legal Business Name) : THOMAS DESHLER PC
Provider Business Mailing Address
First Line : 20673 S MATTOON RD
Second Line :
City : ESTACADA
State : OR
Zip : 97023-9640
Country : US
Telephone Number : 503-880-8949
Fax Number :
Provider Business Practice Location Address
First Line : 1230 DIVISION ST
Second Line :
City : OREGON CITY
State : OR
Zip : 97045-1521
Country : US
Telephone Number : 503-983-8813
Fax Number :
Authorized Official
Title or Position : OWNER
Name : THOMAS DESHLER
Credential : PSYCHOLOGIST
Telephone Number : 503-880-8949
Provider Enumeration Date : 07/02/2025
Last Update Date : 07/02/2025

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