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Individual

MICHELLE BRADLEY THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
406 BLACK HILLS LN SW, STE A, OLYMPIA, WA 98502-8144
(360) 754-1735
Mailing address
406 BLACK HILLS LN SW, STE A, OLYMPIA, WA 98502-8144
(206) 465-5068

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10041324
TX
207RG0100X
Gastroenterology Physician
Primary
OP60726268
WA

Other

Enumeration date
05/25/2011
Last updated
03/02/2020
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