Individual
COLE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1514 SE 3RD CT, CANBY, OR 97013-4560
(503) 266-2033
Mailing address
1177 N REDWOOD ST, CANBY, OR 97013-2404
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11656
OR
Other
Enumeration date
07/22/2022
Last updated
07/22/2022
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