Provider Demographics
NPI:1538562830
Name:MUNOZ, THOMAS F II (DC)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:F
Last Name:MUNOZ
Suffix:II
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 1:3605 N LOMBARD ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97217-5903
Mailing Address - Country:US
Mailing Address - Phone:503-285-4137
Mailing Address - Fax:503-285-8873
Practice Address - Street 1:3605 N LOMBARD ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97217-5903
Practice Address - Country:US
Practice Address - Phone:503-285-4137
Practice Address - Fax:503-285-8873
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-30
Last Update Date:2014-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR5586111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor