Individual
TORI N THORESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
30 HOULTON ST, PATTEN, ME 04765-3035
(207) 528-2285
(207) 528-2595
Mailing address
PO BOX 500, PATTEN, ME 04765-0500
(207) 528-2285
(207) 528-2595
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA1309
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA1309
LICENSE
ME
Enumeration date
02/22/2011
Last updated
04/04/2016
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