Individual
BRUCE EDWARD THOMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 NW KING BLVD, CORVALLIS FAMILY MEDICINE PC, CORVALLIS, OR 97330
(541) 757-2400
(541) 757-4719
Mailing address
2400 NW KING BLVD, CORVALLIS FAMILY MEDICINE PC, CORVALLIS, OR 97330
(541) 757-2400
(541) 757-4719
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD17359
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057294
—
OR
Enumeration date
02/24/2006
Last updated
10/22/2010
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