Thompson, Julianne

Thompson, Julianne is an individual health care provider with primary practice located at 5330 Ne Glisan St Suite 100, Portland OR 97213-3069. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Thompson, Julianne can be contacted via phone (503) 215-9700.

Contact Information

Primary practice address
5330 Ne Glisan St Suite 100 Portland OR 97213-3069
Phone: (503) 215-9700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD60226753 Washington
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD60226753 Washington
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD162578 Oregon

Profile Details

NPI number 1124119359
LBN Legal business name Thompson, Julianne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Aug 7th, 2014 - about 12 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 1124119359 NPPES
Oregon MEDICAID 500662238

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