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Individual

DR. BREANNA SUMMERS THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
16770 SW EDY RD STE 102, SHERWOOD, OR 97140-9679
(503) 216-9600
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO202589
OR
208000000X
Pediatrics Physician
DO202589
OR
208000000X
Pediatrics Physician
DR.0049522
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
71333240
CO
Enumeration date
03/27/2009
Last updated
01/02/2025
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