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Individual

NATHAN R THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
211 NW LARCH AVE, REDMOND, OR 97756-1357
(541) 548-2164
(541) 548-0534
Mailing address
PO BOX 1420, REDMOND, OR 97756-0400
(541) 548-2164
(541) 548-0534

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD150934
OR
207Q00000X
Family Medicine Physician
MD60018029
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11865892
CAQH ID
OR
05
500620526
OR
Enumeration date
06/03/2008
Last updated
04/22/2020
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