Thomson, Bruce Edward

Thomson, Bruce Edward is an individual health care provider with primary practice located at 2400 Nw King Blvd Corvallis Family Medicine Pc, Corvallis OR 97330. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Thomson, Bruce Edward can be contacted via phone (541) 757-2400.

Contact Information

Primary practice address
2400 Nw King Blvd Corvallis Family Medicine Pc Corvallis OR 97330
Phone: (541) 757-2400
Fax: (541) 757-4719
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD17359 Oregon

Profile Details

NPI number 1386610780
LBN Legal business name Thomson, Bruce Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Oct 22nd, 2010 - about 14 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 1386610780 NPPES
Oregon MEDICAID 057294

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