Individual
JARED LEE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
2925 SISKIYOU BLVD, MEDFORD, OR 97504-8179
(541) 773-1435
(541) 858-6828
Mailing address
11306 BRIDGEPORT WAY SW, STE D, LAKEWOOD, WA 98499-3037
(541) 494-1111
(541) 494-1099
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
201350038NP
OR
363L00000X
Nurse Practitioner
Primary
AP61287895
WA
Other
Enumeration date
03/14/2013
Last updated
06/01/2022
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