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General NPI Number Information
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NPI Number | 1851710669
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Entity Type | Individual
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Provider Name | JOSEPH LAURENCE THOUIN MD
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Gender | Male
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Dates
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Enumeration Date | 04/09/2014
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Last Update Date | 12/27/2024
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Provider Practice Location Address
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Address Line | 3311 RIVERBEND DR
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City | SPRINGFIELD
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State | OR
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Zip | 97477-8800
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Country | US
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Telephone | 541-484-4332
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Fax | 541-242-6770
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Provider Business Mailing Address
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Address Line | 1 BOSTON MEDICAL CENTER PLACE
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City | BOSTON
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State | MA
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Zip | 02118-2999
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Country | US
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Telephone | 617-638-8000
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD205227
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License Number State | OR
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