1861533481 NPI number — CURTIS THOMPSON MD & ASSOCIATES PLLC

Table of content: (NPI 1861533481)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861533481 NPI number — CURTIS THOMPSON MD & ASSOCIATES PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CURTIS THOMPSON MD & ASSOCIATES PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
CTA PATHOLOGY
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1861533481
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/23/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 230457
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TIGARD
Provider Business Mailing Address State Name:
OR
Provider Business Mailing Address Postal Code:
97281-0457
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
503-245-8220
Provider Business Mailing Address Fax Number:
503-249-8219

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9750 SW NIMBUS AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BEAVERTON
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97008-7172
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
503-906-7300
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/08/2007

Additional Information

Authorized Official

Authorized Official Last Name:
THOMPSON
Authorized Official First Name:
CURTIS
Authorized Official Middle Name:
TROY
Authorized Official Title or Position:
MEMBER
Authorized Official Telephone Number:
503-906-7300

Provider Taxonomy Codes

  • Taxonomy code: 207ZD0900X , with the licence number:  MD23731 , registered in the state of OR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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