Individual
MR. JACOB JOHN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3550 LIBERTY RD S STE 100, SALEM, OR 97302-5700
(833) 368-2696
Mailing address
2533 MOON MOUNTAIN DR, EUGENE, OR 97403-2281
(605) 639-1811
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
202004664RN
OR
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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