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Individual

DR. CHARLES RICHARD THOMAS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-6600
Mailing address
3181 SW SAM JACKSON PARK ROAD, MAIL CODE KPV4, PORTLAND, OR 97239-3098
(503) 494-8758

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
042.0015551
VT
2085R0001X
Radiation Oncology Physician
Primary
22087
NH
2085R0001X
Radiation Oncology Physician
MD00028703
WA
2085R0001X
Radiation Oncology Physician
MD26549
OR

Other

Enumeration date
07/18/2006
Last updated
11/04/2021
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