Individual
DR. ROBERT D THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4421 NE ST JOHNS RD, SUITE F, VANCOUVER, WA 98661-2573
(360) 695-9922
(360) 695-1310
Mailing address
4421 NE ST JOHNS RD, SUITE F, VANCOUVER, WA 98661-2573
(360) 695-9922
(360) 695-1310
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
12797
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1613504
—
WA
01
—
CO4293
MEDICARE RAILROAD
WA
Enumeration date
09/09/2005
Last updated
03/29/2012
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