Individual
MS. JESSICA THOMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK ROAD, OHSU, PORTLAND, OR 97239
(503) 494-8211
Mailing address
3181 SW SAM JACKSON PARK ROAD, OHSU, PORTLAND, OR 97239
(503) 494-8211
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PG174633
OR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
08/11/2015
Last updated
08/12/2016
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