Individual
MR. TIM N THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1209 MEADE AVE, PROSSER, WA 99350
(509) 786-3637
(509) 786-7385
Mailing address
1209 MEADE AVE, PROSSER, WA 99350
(509) 786-3637
(509) 839-5682
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00034094
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
158360
LI
WA
01
—
4329TH
REGENCE
WA
05
—
U29303
—
WA
Enumeration date
03/13/2007
Last updated
07/28/2021
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