Provider Demographics
NPI:1790079242
Name:ORESMAN, THOMAS P (PA- C)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:P
Last Name:ORESMAN
Suffix:
Gender:M
Credentials:PA- C
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:12932 SE KENT KANGLEY RD
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98030-7940
Mailing Address - Country:US
Mailing Address - Phone:206-257-8800
Mailing Address - Fax:253-631-0905
Practice Address - Street 1:12932 SE KENT KANGLEY RD
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98030-7940
Practice Address - Country:US
Practice Address - Phone:206-257-8800
Practice Address - Fax:253-631-0905
Is Sole Proprietor?:No
Enumeration Date:2011-06-01
Last Update Date:2011-06-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WA2252363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant