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General NPI Number Information
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NPI Number | 1184568065
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Entity Type | Individual
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Provider Name | JESSICA LYNN THOMAS APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 04/20/2026
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Last Update Date | 04/20/2026
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Provider Practice Location Address
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Address Line | 1430 MONMOUTH ST
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City | INDEPENDENCE
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State | OR
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Zip | 97351-1127
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Country | US
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Telephone | 503-917-2255
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Fax |
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Provider Business Mailing Address
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Address Line | 2181 BURKHART ST SE
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City | ALBANY
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State | OR
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Zip | 97322-5459
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Country | US
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Telephone | 503-853-5365
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 201608214RN
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License Number State | OR
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