Individual
NICOLE ELIZABETH THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
25900 SW HEATHER PL, WILSONVILLE, OR 97070-5785
(503) 825-4005
Mailing address
3939 SW BOND AVE, APT. 132, PORTLAND, OR 97239-4706
(480) 385-8175
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0014218
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
0014218
OR
Other
Enumeration date
08/21/2014
Last updated
01/01/2016
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