MS. MYRA L THOMPSON F.N.P. NPI 1710022835

NPI Information

NPI: 1710022835
Provider Name: MS. MYRA L THOMPSON, F.N.P.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
38505 BROOTEN RD
SUITE A
PACIFIC CITY, OR
ZIP 97135
Phone: (541) 994-6523
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MS. Myra L Thompson, F.N.P. is a family nurse practitioner in Pacific City, OR. MS. Myra L Thompson, F.N.P. NPI is 1710022835. 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:

38505 BROOTEN RD
SUITE A
PACIFIC CITY, OR
ZIP 97135
Phone: (541) 994-6523

The NPI 1710022835 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 2/20/2007 and was last updated on 3/25/2008.

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	363LF0000X	Nurse Practitioner	Family	083030466N1	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
1	129788	MEDICAID	OREGON
2	R32376	MEDICARE UPIN	OREGON
3	050WCTBNA	MEDICARE ID-TYPE UNSPECIFIED	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: 5/5/2024

NPI Synchronization or Removal

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