Search › Oregon › 183500000X

Jacob Thompson, PHARMD, MS

NPI 1215371463 · on the registry since 2013 · sole proprietor

Practice

Address
930 Nw 12th Ave Apt 402
Portland, OR 97209
Phone
(217) 521-5253
Fax
(217) 521-5253
Organisation at this address
Benefice Of Distinctive Goals Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
183500000X
183500000X
Also registered as
183500000X
183500000X
183500000X
Licence states on file
NY, OH, IL, OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-03-19

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 Oregon