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Individual

DR. REID FREDERICK THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD PHD

Contact information

Practice address
3181 SW SAM JACKSON PARK RD # L337, PORTLAND, OR 97239-3011
(503) 494-8756
Mailing address
3181 SW SAM JACKSON PARK RD # L337, PORTLAND, OR 97239-3011
(503) 494-8756

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT198919
PA
2085R0001X
Radiation Oncology Physician
Primary
MD177119
OR
2085R0001X
Radiation Oncology Physician
MT198919
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT198919
PA

Other

Enumeration date
04/28/2011
Last updated
06/14/2016
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