Individual
IAN ANDREW THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
2460 NW STEWART PKWY STE 100, ROSEBURG, OR 97471
(541) 229-2663
Mailing address
2460 NW STEWART PKWY STE 100, ROSEBURG, OR 97471
(541) 229-2663
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10033676
OR
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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