Individual
TIMOTHY ALLEN THURSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5125 SKYLINE RD S, SALEM, OR 97306-9427
(503) 361-5400
Mailing address
4742 LIBERTY RD S, #160, SALEM, OR 97302-5037
(503) 910-4384
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD20904
OR
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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