Individual
MICHELLE RENEE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-9000
Mailing address
6635 NE 22ND AVE, PORTLAND, OR 97211-5354
(503) 528-0320
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
LL16450
OR
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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