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ALBERT P. THOMPSON NPI 1871591016


NPI Information

NPI: 1871591016
Provider Name: ALBERT P. THOMPSON

Doing Business As: BAYSHORE FAMILY MEDICINE

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
38505 BROOTEN RD.
SUITE A
PACIFIC CITY, OR
ZIP 97135
Phone: (503) 965-6555
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ALBERT P. THOMPSON is a rural health clinic center in Pacific City, OR. ALBERT P. THOMPSON NPI is 1871591016. The provider is registered as an organization entity type.
The provider Is Doing Business As Bayshore Family Medicine.

The provider's business location address is:

38505 BROOTEN RD.
SUITE A
PACIFIC CITY, OR
ZIP 97135
Phone: (503) 965-6555
Fax: (503) 965-6800

The provider's authorized official is M Sydney Thompson .
The authorized official title is Practice Administrator and has the following contact phone number (503) 965-6555.

The enumeration date for this NPI number is 7/12/2005 and was last updated on 8/22/2020.


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
1261QR1300XClinic/CenterRural Health383828OREGONYes

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
1129788MEDICAIDOREGON

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

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