CHRISTINA LEILA THOMPSON PA-C NPI 1659622819

NPI Information

NPI: 1659622819
Provider Name: CHRISTINA LEILA THOMPSON, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: OREGON CLINIC PC

PECOS Registration: Yes

Address:
1111 NE 99TH AVE
PORTLAND, OR
ZIP 97220
Phone: (503) 963-2707
Get Directions

Christina Leila Thompson, PA-C is a medical physician assistant in Portland, OR with 12 years of experience. Christina Leila Thompson, PA-C NPI is 1659622819. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1111 NE 99TH AVE
PORTLAND, OR
ZIP 97220-428
Phone: (503) 963-2707
Fax: (503) 963-2802

The NPI 1659622819 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/27/2012 and was last updated on 11/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		015985-1	NEW YORK	No
2	363AM0700X	Physician Assistant	Medical	PA174608	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2049303	MEDICAID	WASHINGTON
2	500694968	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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