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1821287921
KENRIC I THOMPSON
PORTLAND, OR
NPI
1821287921
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OR 200241824RN)
Enumeration Date
2007-10-15
Last Update Date
2007-10-15
Business Address
-- KENRIC I THOMPSON RN
10123 SE MARKET ST
PORTLAND, OR 97216-2532
Phone number: 503-257-2500
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Mailing Address
-- KENRIC I THOMPSON RN
PO BOX 16800
PORTLAND, OR 97292-0800
Phone number: 503-257-2500
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