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NPI Code Detail

MEDICARE: JOSH M THOMAS MSW, QMHP

MEDICARE: JOSH M THOMAS MSW, QMHP
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
1171M00000XCase Manager/Care Coordinator
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1932253457
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSH M THOMAS MSW, QMHP
Provider Business Mailing Address
First Line : 627 NE EVANS ST
Second Line :
City : MCMINNVILLE
State : OR
Zip : 97128-3923
Country : US
Telephone Number : 503-434-7526
Fax Number : 503-434-9864
Provider Business Practice Location Address
First Line : 627 NE EVANS ST
Second Line :
City : MCMINNVILLE
State : OR
Zip : 97128-3923
Country : US
Telephone Number : 503-434-7526
Fax Number : 503-434-9864
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2007
Last Update Date : 11/19/2010

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