Individual
MS. KATHY SUE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4150 OAKMAN ST S, SALEM, OR 97302-2733
(503) 507-3058
(503) 540-5729
Mailing address
4150 OAKMAN ST S, SALEM, OR 97302-2733
(503) 507-3058
(503) 540-5729
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
098274
—
OR
Enumeration date
01/11/2007
Last updated
07/09/2007
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