Individual provider · Type 1 NPI

Simone Rose Thibault

Obstetrics & Gynecology Physician · Beaverton, OR

NPI number 1700535663 Active

Practice location

4855 SW Western Ave
Beaverton, OR 97005-3460

Call (503) 813-2000 Map

Mailing address

500 NE Multnomah St Ste 100, Floor 11
Portland, OR 97232-2099

Other practice locations

  • 5125 Skyline Rd S, Salem, OR 97306-9413 · (800) 813-2000

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician Primary 207V00000XMD231429 (OR)
Obstetrics & Gynecology Physician 207V00000XMD.MD.70157163 (WA)

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

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About NPI 1700535663

Simone Rose Thibault's National Provider Identifier is 1700535663, issued on Mar 19, 2022. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Beaverton, OR. The record was last updated on Oct 20, 2026.