Individual
MS. BERNADETTE K THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, MSN, MPH, DNP
Contact information
Practice address
619 SW 6TH AVE., PORTLAND, OR 97209-9720
(503) 988-3581
Mailing address
619 NW 6TH AVE, PORTLAND, OR 97209-3964
(503) 988-3581
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202109686NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022959
—
OR
Enumeration date
10/05/2005
Last updated
04/26/2022
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