Provider Demographics
NPI:1457461279
Name:BARRETT, THOMAS WILLIAM (MD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:WILLIAM
Last Name:BARRETT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3710 SW US VETERANS HOSPITAL RD
Mailing Address - Street 2:P. O. BOX 1034
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-2964
Mailing Address - Country:US
Mailing Address - Phone:503-273-5015
Mailing Address - Fax:503-721-7807
Practice Address - Street 1:3710 SW US VA HOSPITAL RD
Practice Address - Street 2:PORTLAND VAMC (P3MED)
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97207-1034
Practice Address - Country:US
Practice Address - Phone:503-273-5015
Practice Address - Fax:503-721-7807
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD22863208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist