| Albert P. Thompson | |
|
1105 Se Jetty Ave Suite C Lincoln City OR 97367-2632 | |
| (503) 965-6555 | |
| (503) 965-6800 |
| Full Name | Albert P. Thompson |
|---|---|
| Speciality | Family Medicine |
| Location | 1105 Se Jetty Ave, Lincoln City, Oregon |
| Authorized Official Name and Position | Sydney Thompson (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 5039656555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Albert P. Thompson Po Box 655 Pacific City OR 97135-0655 Ph: (503) 965-6555 | Albert P. Thompson 1105 Se Jetty Ave Suite C Lincoln City OR 97367-2632 Ph: (503) 965-6555 |
| NPI Number | 1871819573 |
|---|---|
| Provider Enumeration Date | 04/20/2010 |
| Last Update Date | 04/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871819573 | NPI | - | NPPES |
| 129788 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD13058 (Oregon) | Primary |
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