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ELIZA THOMPSON NPI 1780295980


NPI Information

NPI: 1780295980
Provider Name: ELIZA THOMPSON
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
15700 SW GREYSTONE CT
BEAVERTON, OR
ZIP 97006
Phone: (503) 494-9001
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Eliza Thompson is a family nurse practitioner in Beaverton, OR with 3 years of experience. Eliza Thompson NPI is 1780295980. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduation Year:2021

The provider's business location address is:

15700 SW GREYSTONE CT
BEAVERTON, OR
ZIP 97006-011
Phone: (503) 494-9001
Fax: (503) 494-1133

The NPI 1780295980 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 8/11/2020 and was last updated on 4/13/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineRN61084245WASHINGTONNo
2207Q00000XFamily MedicineAP61084248WASHINGTONNo
3363LF0000XNurse PractitionerFamily202002277RNOREGONNo
4363LF0000XNurse PractitionerFamily390200000XWASHINGTONNo
5363LF0000XNurse PractitionerFamily10005305OREGONYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1390200000XOTHERYAKIMA CLINIC

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.