Individual
DR. FREDRICK C. THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1867 NW CIVIC DR, GRESHAM, OR 97030-5566
(503) 661-6613
Mailing address
1867 NW CIVIC DR, GRESHAM, OR 97030-5566
(503) 661-6613
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8225
OR
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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