Physician Compare National (NPI:1215911599)

HEALTHCARE PROVIDER: MELISSA R. THOMPSON PA

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1215911599
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7810180346
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101018000118
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	THOMPSON
	Individual professional last name
Provider First Name	MELISSA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2001
	Individual professional's medical school graduation year
Primary Specialty	PHYSICIAN ASSISTANT
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	NORTHWEST PRIMARY CARE GROUP PC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	0244125052
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	35
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	10024 SE 32ND AVE
	Group Practice or individual's line 1 address
City	MILWAUKIE
	Group Practice or individual's city
State	OR
	Group Practice or individual's state
Zip Code	972226514
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5036594988
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	380082
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PROVIDENCE MILWAUKIE HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y