Individual
DR. JULIANNE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5330 NE GLISAN ST, SUITE 100, PORTLAND, OR 97213-3069
(503) 215-9700
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD162578
OR
207Q00000X
Family Medicine Physician
MD60226753
WA
208D00000X
General Practice Physician
MD60226753
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500662238
—
OR
Enumeration date
09/27/2006
Last updated
08/07/2014
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