Individual
DR. JOHN STEPHEN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3680 NW SAMARITAN DR, CORVALLIS, OR 97330-3737
(541) 754-1150
Mailing address
444 NW ELKS DR, CORVALLIS, OR 97330-3758
(541) 754-1150
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
30682
CO
207RR0500X
Rheumatology Physician
Primary
MD185198
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01306828
—
CO
01
—
P00944833
MEDICARE RAILROAD CARRIER PTAN
CO
Enumeration date
01/04/2006
Last updated
03/28/2018
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