Individual
MS. NICOLETTE LEE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
589 NW 11TH STREET, HERMISTON, OR 97838-6600
(541) 567-1717
(541) 567-9662
Mailing address
PO BOX 190, TOPPENISH, WA 98948-0190
(541) 567-1717
(541) 567-9662
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00656
OR
Other
Enumeration date
02/21/2007
Last updated
03/07/2023
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