Individual
HOLLY MICHELLE THOMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3098
(503) 494-8311
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3098
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
66987
AZ
207RN0300X
Nephrology Physician
Primary
PG225494
OR
208M00000X
Hospitalist Physician
66987
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PG225494
OMB
OR
Enumeration date
04/01/2021
Last updated
11/24/2025
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