Individual
JOSHUA DAVID THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2801 N GANTENBEIN AVE, PORTLAND, OR 97227-1623
(503) 413-8407
(503) 413-6951
Mailing address
PO BOX 4399, PORTLAND, OR 97208-4399
(503) 413-3900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD171232
OR
Other
Enumeration date
04/16/2012
Last updated
01/24/2017
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