NPI Profile for Dr LANCE D THOMPSON in PORTLAND, OR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oral & Maxillofacial Surgery |
204E00000X | 02 | Physician/General Surgery | |
Dentist |
122300000X | |||
Oral and Maxillofacial Surgery |
1223S0112X | 19 | Oral Surgery (Dentist only) |
| NPI # | 1861874760 |
|
| Status | Active | |
| Credentials | MD, DDS | |
| Entity | Individual | |
| Enumeration date | 06/26/2015 | |
| Last updated | 04/29/2021 - About 5 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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LANCE D THOMPSON
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