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Search › Oregon › 207R00000X

Mark Thibert, MD

NPI 1225104235 · on the registry since 2006

Practice

Address
375 Nw Beaver St Ste 101
Prineville, OR 97754
Phone
(541) 383-3005
Fax
(541) 383-1883
Organisation at this address
Mosaic Medical
Mosaic Medical
County Of Crook
County Of Crook
Mosaic Medical Dental
Inferred from a shared address, not stated in the registry.
Clinicians at this address
42

Registry record

Primary taxonomy
207R00000X
207R00000X
Also registered as
207Q00000X
207Q00000X
207Q00000X
Licence states on file
OR, UT, WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-10-09

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