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Trisha A Thoms

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011

PECOS Enrollment

This provider is enrolled in PECOS as TRISHA THOMS.

Based on the most recent information from CMS, provider Trisha A Thoms is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1821332255
Provider Type
Individual
Full Name
Thoms, Trisha A
Credential
MPAS, PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
11/26/2012
Last Updated
12/30/2020

Contact Information

Practice Location

3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011

(503) 494-1164

Unlisted Fax

Mailing Location

3181 SW Sam Jackson Park Rd, Mail Code: Bte 119, Portland, OR 97239-3011

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA160128 Oregon
Code 363A00000X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 160128 Oregon

Trisha A Thoms

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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Dang, Theresa Huong Tuyet Thi

Wheeler, Stacey Ann

Nixon, Carolyn Kyle

Myers, Robert A

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Ahmad, Zoha