Provider Demographics
NPI:1013913201
Name:VAN HEE, THOMAS J (DC)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:J
Last Name:VAN HEE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1940 12TH ST
Mailing Address - Street 2:STE B
Mailing Address - City:HOOD RIVER
Mailing Address - State:OR
Mailing Address - Zip Code:97031-9542
Mailing Address - Country:US
Mailing Address - Phone:541-386-3988
Mailing Address - Fax:541-386-3238
Practice Address - Street 1:1940 12TH ST
Practice Address - Street 2:STE B
Practice Address - City:HOOD RIVER
Practice Address - State:OR
Practice Address - Zip Code:97031-9542
Practice Address - Country:US
Practice Address - Phone:541-386-3988
Practice Address - Fax:541-386-3238
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2011-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR2021111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR028444Medicaid
T68216Medicare UPIN
OR028444Medicaid