Individual provider · Type 1 NPI
Jacob Joseph Tom, MD
Diagnostic Radiology Physician · Springfield, OR
NPI number
1912972258
Active
Practice location
960 N 16th St Ste 103
Springfield, OR 97477-4175
Fax (541) 744-6069
Mailing address
696 N Shepherd Rd
Washougal, WA 98671-8320
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | 39631 (WA) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1912972258
Jacob Joseph Tom, MD's National Provider Identifier is 1912972258, issued on Feb 21, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Springfield, OR. The record was last updated on Jun 8, 2011.