Individual
SHARON ANN THRALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2570 NW EDENBOWER BLVD, SUITE 100, ROSEBURG, OR 97471
(541) 229-3301
(541) 677-7462
Mailing address
2570 NW EDENBOWER BLVD, SUITE 100, ROSEBURG, OR 97471
(541) 957-1111
(541) 957-5705
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
10944
OR
207Q00000X
Family Medicine Physician
Primary
MD10944
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199638
—
OR
Enumeration date
08/25/2006
Last updated
05/19/2009
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