Individual
CHAD G. THORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4436
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067873007
BLUE CROSS OF OREGON
OR
05
—
286662
—
OR
01
—
650023624
MEDICARE RAILROAD
OR
01
—
J284206
PACIFIC SOURCE INSURANCE
OR
Enumeration date
07/31/2005
Last updated
08/06/2026
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