Elizabeth Thai, DO
Student in an Organized Health Care Education/Training Program in Portland, OR. Individual provider (NPI-1).
Details
- NPI
- 1316707698
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth Thai
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 21, 2024
- Certification date
- Mar 21, 2024
- Last updated
- Mar 21, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B No · DME Yes · Home health No · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
3181 Sw Sam Jackson Park RdPortland, OR 97239-3098
Phone 503-494-8211
Mailing address
3181 Sw Sam Jackson Park RdPortland, OR 97239-3098
Phone 503-494-8211
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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