Individual
JOHANNA MAY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
445 3RD AVE SW, ALBANY, OR 97321-2272
(541) 967-3866
Mailing address
10325 NE HANCOCK ST, PORTLAND, OR 97220-3833
(503) 477-8217
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
083039908RN
OR
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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