Organization
WILLAMETTE EAR NOSE & THROAT LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLARK R THOMPSON M.D (PHYSICIAN)
(503) 581-1567
Entity
Organization
Contact information
Practice address
3099 RIVER RD S STE 150, SALEM, OR 97302-9754
(503) 581-9445
(503) 485-2590
Mailing address
3099 RIVER RD S STE 150, SALEM, OR 97302-9754
(503) 581-9445
(503) 485-2590
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026573
—
OR
Enumeration date
07/02/2007
Last updated
06/17/2013
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