Search › Washington › 101YA0400X
James Thayer, CP00004542
NPI 1154868347 · on the registry since 2017
Practice
- Address
- 2700 Simpson Avenue
Suite 101
Aberdeen, WA 98520 - Phone
- (360) 612-0012
- Fax
- (360) 218-5945
- Clinicians at this address
- 75
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 101YA0400X
101YM0800X - Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-08-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington