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

Nik Thanasouk

Individual provider Contractor · NPI 1316618044

Nik Thanasouk is a Contractor in Happy Valley, Oregon. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
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Practice location Address checks out

13636 SE Callahan Rd
Happy Valley, OR 97086-6022
Phone: (503) 317-1531
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X

Record details

NPI number1316618044
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 22, 2021
Last updated in NPPESSeptember 22, 2021
Certification dateSeptember 22, 2021
Mailing address13636 Se Callahan Rd, Happy Valley, OR 97086-6022

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