Individual provider · Type 1 NPI

Jessica Thoma, MD

Student in an Organized Health Care Education/Training Program · Portland, OR

NPI number 1467828608 Active · reactivated Aug 12, 2016

Practice location

3181 SW Sam Jackson Park Road, Ohsu
Portland, OR 97239

Call (503) 494-8211 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XPG174633 (OR)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1467828608

Jessica Thoma, MD's National Provider Identifier is 1467828608, issued on Aug 11, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, OR. The record was last updated on Aug 12, 2016.