Individual
JAMES ROBERT THAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
426 SW STARK ST, 5TH FLOOR, PORTLAND, OR 97204-2347
(503) 988-5140
(503) 988-5180
Mailing address
421 SW OAK ST, SUITE 210, PORTLAND, OR 97204-1817
(503) 988-3663
(503) 988-4098
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD13684
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105007
—
OR
05
—
500628019
—
OR
Enumeration date
05/04/2006
Last updated
08/28/2013
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