# CHAD G. THORSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1801896899
- **Gender:** Man
- **Credential:** P.T.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 4436 | OR | Yes |

## Other

- **Enumeration date:** 07/31/2005
- **Last updated:** 08/06/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 067873007 | BLUE CROSS OF OREGON | OR |
| 05 | — | 286662 | — | OR |
| 01 | — | 650023624 | MEDICARE RAILROAD | OR |
| 01 | — | J284206 | PACIFIC SOURCE INSURANCE | OR |