Individual
JOHN AVERY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9155 SW BARNES RD STE 420, PORTLAND, OR 97225-6631
(503) 297-6334
Mailing address
9155 SW BARNES RD STE 420, PORTLAND, OR 97225-6631
(503) 297-6334
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD192172
OR
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
MD192172
OR
Other
Enumeration date
03/27/2016
Last updated
08/10/2021
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