| R. W. Thompson Dmd,pc | |
|
4095 Sw 144th Ave Ste A Beaverton OR 97005-2368 | |
| (503) 643-4719 | |
| (503) 626-9488 |
| Full Name | R. W. Thompson Dmd,pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4095 Sw 144th Ave Ste A, Beaverton, Oregon |
| Authorized Official Name and Position | Lennie D Wong (DOCTOR) |
| Authorized Official Contact | 5036434719 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R. W. Thompson Dmd,pc 4095 Sw 144th Ave Ste A Beaverton OR 97005-2368 Ph: (503) 643-4719 | R. W. Thompson Dmd,pc 4095 Sw 144th Ave Ste A Beaverton OR 97005-2368 Ph: (503) 643-4719 |
| NPI Number | 1235365602 |
|---|---|
| Provider Enumeration Date | 05/29/2009 |
| Last Update Date | 05/29/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235365602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D6960 (Oregon) | Primary |
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