Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Thomas Everette Imig, CDP

Individual provider Community Health Worker · NPI 1184017071

Mr. Thomas Everette Imig, CDP is a Community Health Worker in Portland, Oregon. Licensed in Washington. Registered with an NPI since 2015.

Licensed in
WA
In the registry since
2015

Practice location Address checks out

1030 NE Couch St
Portland, OR 97232
Phone: (503) 239-8400
Fax: (503) 239-8407
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X · Licence 00004925 (WA)

Record details

NPI number1184017071
Entity typeIndividual (Type 1)
GenderMale
Credentials CDP
Sole proprietorNo
NPI enumeratedMarch 17, 2015
Last updated in NPPESMarch 17, 2015

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