Individual provider · Type 1 NPI

Christina Leila Thompson, PA-C

Medical Physician Assistant · Portland, OR

NPI number 1659622819 Active

Practice location

1111 NE 99th Ave
Portland, OR 97220-9428

Call (503) 963-2707 Map

Fax (503) 963-2802

Mailing address

541 NE 20th Ave Ste 225
Portland, OR 97232-2895

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X015985-1 (NY)
Medical Physician Assistant Primary 363AM0700XPA174608 (OR)

Medical Physician Assistant: Definition to come...

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About NPI 1659622819

Christina Leila Thompson, PA-C's National Provider Identifier is 1659622819, issued on Sep 27, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portland, OR. The record was last updated on Nov 4, 2024.