Nik Thanasouk
Contractor · Happy Valley, OR
NPI number
1316618044
Practice location
13636 SE Callahan RdHappy Valley, OR 97086-6022
- Phone
- (503) 317-1531
NPI record
- NPI
- 1316618044
- Entity type
- Individual (Type 1)
- Enumeration date
- September 22, 2021
- Last updated
- September 22, 2021
- Certified
- September 22, 2021
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Contractor Primary | 171W00000X |
— | — |
About Nik Thanasouk
Nik Thanasouk is a healthcare provider registered in the NPI registry with the primary taxonomy Contractor (code 171W00000X). The practice location is 13636 SE Callahan Rd, Happy Valley, OR 97086-6022. The NPI number 1316618044 was assigned on September 22, 2021 and the record was last updated on September 22, 2021.
Frequently asked questions
What is the NPI number of Nik Thanasouk?
The NPI number is 1316618044.
What is the phone number of Nik Thanasouk?
The phone number listed for the practice location is (503) 317-1531.
Where is Nik Thanasouk located?
13636 SE Callahan Rd, Happy Valley, OR 97086-6022.
What is the taxonomy code for Nik Thanasouk?
The primary taxonomy code is 171W00000X – Contractor.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Contractor providers in Happy Valley
- Steven Miller, CSA11022 SE Lenore St