Thorson, Chad G.

Thorson, Chad G. is an individual health care provider with primary practice located at 625 Ramsey Ave Suite B, Grants Pass OR 97527-5808. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Thorson, Chad G. can be contacted via phone (541) 476-1919.

Contact Information

Primary practice address
625 Ramsey Ave Suite B Grants Pass OR 97527-5808
Phone: (541) 476-1919
Fax: (541) 476-1920
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 4436 Oregon

Profile Details

NPI number 1801896899
LBN Legal business name Thorson, Chad G.
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2005
Last updated Dec 6th, 2007 - about 18 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 1801896899 NPPES
Oregon Other J284206 PACIFIC SOURCE INSURANCE
Oregon MEDICAID 286662 PACIFIC SOURCE INSURANCE

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