Search › Oregon › 363LW0102X
Mitzi Thompson, NP
NPI 1912987926 · on the registry since 2006
Practice
- Address
- 2460 Nw Stewart Parkway
Suite 104
Roseburg, OR 97471 - Phone
- (541) 677-4463
- Fax
- (541) 677-3379
- Organisation at this address
- Faye Ameredes Do Pc
Samuel J Russo Do Pc
Sharon A Thrall, Md Pc
Donald E. Wonderly Md Pc
Centennial Medical Group, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 24
Registry record
- Primary taxonomy
- 363LW0102X
363LW0102X
- Also registered as
- 363LW0102X
163W00000X - Licence states on file
- OR, TN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-02-03
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