Thompson, Clark

Thompson, Clark is an individual health care provider with primary practice located at 3099 River Rd S , Salem OR 97302-9754. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Thompson, Clark can be contacted via phone (503) 581-1567.

Contact Information

Primary practice address
3099 River Rd S Salem OR 97302-9754
Fax: (503) 399-1229
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 15142 Oregon

Profile Details

NPI number 1750386926
LBN Legal business name Thompson, Clark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Oct 31st, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750386926 NPPES
Oregon MEDICAID 149476

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