Thompson, Nathan R

Thompson, Nathan R is an individual health care provider with primary practice located at 211 Nw Larch Ave , Redmond OR 97756-1357. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Thompson, Nathan R can be contacted via phone (541) 548-2164.

Contact Information

Primary practice address
211 Nw Larch Ave Redmond OR 97756-1357
Phone: (541) 548-2164
Fax: (541) 548-0534
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD60018029 Washington
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD150934 Oregon

Profile Details

NPI number 1124287321
LBN Legal business name Thompson, Nathan R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2008
Last updated Apr 22nd, 2020 - about 4 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 1124287321 NPPES
Oregon MEDICAID 500620526
Oregon Other 11865892

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