Individual
THOMAS N ERNST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
211 NW LARCH AVE, REDMOND, OR 97756-1357
(541) 548-2164
(541) 548-0534
Mailing address
PO BOX 1420, REDMOND, OR 97756-0400
(541) 548-2164
(541) 548-0534
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD23788
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10949202
CAQH ID
OR
05
—
286658
—
OR
Enumeration date
06/13/2006
Last updated
01/03/2012
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