IndividualActive
Thomas Manseau
NPI 1619208667 · Radiologic Technologist · Beaverton, OR
Provider details
- NPI number
- 1619208667
- Entity type
- Individual
- Primary specialty
- Radiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 107446 (OR)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
6160 Sw Arctic Dr
Beaverton, OR 97005-9448
Phone: (503) 646-7777
Fax: (503) 786-9729
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 66500
Portland, OR 97290-6500
Registry dates
- Enumerated
- 2010-01-14
- Last updated
- 2010-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.