Individual
MARK R THORSON
Active
Individual
MARK R THORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00015441
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058339
—
OR
01
—
110194826
RR MEDICARE
—
01
—
126456
LABOR & IND.
WA
05
—
8239097
—
WA
01
—
8923178
CRIME VICTIMS
WA
Enumeration date
08/09/2005
Last updated
07/30/2012
Update your record
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