IndividualActive
Thomas Kowalski, IDHS
NPI 1407527369 · Independent Duty Corpsman · Portland, OR
Provider details
- NPI number
- 1407527369
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDHS
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6767 N Basin Ave
Portland, OR 97217-3929
Phone: (503) 240-9343
Street-level locationGet directions
Mailing address
11408 Ne 128th Pl
Vancouver, WA 98682-1784
Registry dates
- Enumerated
- 2021-09-21
- Last updated
- 2021-10-18
- Certified
- 2021-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.