Individual
TORY MICHAEL THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
3820 17TH ST, BAKER CITY, OR 97814
(541) 523-4465
(541) 524-9032
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(541) 523-4465
(541) 524-9032
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
200950107NP
OR
Other
Enumeration date
08/03/2009
Last updated
08/18/2016
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