Individual
DR. ROBERT W THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8064 SE HAROLD ST, PORTLAND, OR 97206-5148
(503) 771-5444
Mailing address
13800 NW GLENDOVEER DR, PORTLAND, OR 97231-2654
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4676
OR
Other
Enumeration date
09/07/2005
Last updated
05/07/2015
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