Thompson, Tara Rae

Thompson, Tara Rae is an individual health care provider with primary practice located at 1698 E Mcandrews Rd Ste 400 , Medford OR 97504-5590. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Thompson, Tara Rae can be contacted via phone (541) 732-7400.

Contact Information

Primary practice address
1698 E Mcandrews Rd Ste 400 Medford OR 97504-5590
Fax: (541) 732-3410
Website:

Health care specialties

Profile Details

NPI number 1710226204
LBN Legal business name Thompson, Tara Rae
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2013
Last updated Mar 12th, 2024 - about last year

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 1710226204 NPPES
Oregon Other 10018842 OREGON BOARD OF NURSING
Oregon Other PA 080109 OREGON BOARD OF NURSING
Oregon MEDICAID 2337483 OREGON BOARD OF NURSING
Oregon Other AP61501809 OREGON BOARD OF NURSING

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