Individual
TONI THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
400 NE 3RD ST, PRINEVILLE, OR 97754-1921
(541) 323-7122
Mailing address
1256 NW 20TH ST, REDMOND, OR 97756-7465
(541) 323-7122
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
096003050RN
OR
Other
Enumeration date
12/21/2016
Last updated
12/21/2016
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