Mary Kathryn Thompson in Portland - Family
Mary Kathryn Thompson - NPI 1104891779
Mary Kathryn Thompson is a Family in Portland, Oregon. Mary Kathryn Thompson practices all healthcare services and medical treatments related to Family. The NPI Number for Mary Kathryn Thompson is 1104891779. The last update date is 2008-12-12.
Mary Kathryn Thompson's current location address is 1130 Nw 22nd Ave, Portland, Oregon. You can contact this provider via phone number 5034137513 and fax number 5034137503. The mailing address for Mary Kathryn Thompson is 1130 Nw 22nd Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mary Kathryn Thompson |
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Address | 1130 Nw 22nd Ave, Portland, Oregon |
Phone Number | 5034137513 |
Fax Number | 5034137503 |
Sole Proprietor | N |
Credentials | PMHNP |
NPI Number Detail
NPI Number | 1104891779 |
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Provider Enumeration Date | 2006-02-17 |
Last Updated Date | 2008-12-12 |
Provider Mailing Address Detail
Address | 1130 Nw 22nd Ave |
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City | Portland |
State | Oregon (OR) |
Post Code | 972102900 |
Phone Number | 5034137513 |
Fax Number | 5034137503 |
Provider's Primary Taxonomy Detail
Speciality | Family |
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Taxonomy | 363Lf0000X |
Licence No | 000030387N1 |
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
27956 | OR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mary Kathryn Thompson by the Centers for Medicare & Medicaid Services (CMS)?
The Mary Kathryn Thompson has been assigned the NPI (National Provider Identifier) 1104891779. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Mary Kathryn Thompson's facilities are situated?
The facilities of Mary Kathryn Thompson are physically located at the following address: 1130 Nw 22Nd Ave, Portland, OR, 972102900.
What is the Mary Kathryn Thompson's area of specialization and corresponding taxonomy classification?
The Mary Kathryn Thompson's specialty field is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1104891779 to Mary Kathryn Thompson?
The Centers for Medicare & Medicaid Services originally issued the 1104891779 to Mary Kathryn Thompson on 2006-02-17.
When was the information pertaining to Mary Kathryn Thompson most recently updated or revised?
The details related to Mary Kathryn Thompson, including its address, specialty, and other relevant information, were last updated or revised on 2008-12-12.