Individual
MS. CAROL JEAN THAMERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MN APRN FNPC NCBC
Contact information
Practice address
8522 SW 30TH AVE, PORTLAND, OR 97219-3951
(503) 430-8717
Mailing address
8522 SW 30TH AVE, PORTLAND, OR 97219-3951
(503) 430-8717
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201393030NP-PP
OR
363LF0000X
Family Nurse Practitioner
AP30007371
WA
Other
Enumeration date
08/17/2006
Last updated
07/25/2025
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