Provider Demographics
NPI:1356611149
Name:THOMAS, ANN R (MD)
Entity type:Individual
Prefix:DR
First Name:ANN
Middle Name:R
Last Name:THOMAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:800 NE OREGON ST
Mailing Address - Street 2:SUITE 772
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97232-2162
Mailing Address - Country:US
Mailing Address - Phone:971-673-1003
Mailing Address - Fax:971-673-1100
Practice Address - Street 1:800 NE OREGON ST
Practice Address - Street 2:SUITE 772
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97232-2162
Practice Address - Country:US
Practice Address - Phone:971-673-1003
Practice Address - Fax:971-673-1100
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-10
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ORMD221842083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine