Provider Demographics
NPI:1306163191
Name:THOMASSON, CATHERINE (MD)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:
Last Name:THOMASSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 PLAGEMAN BLDG
Mailing Address - Street 2:OREGON STATE UNIVERSITY
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97331-8567
Mailing Address - Country:US
Mailing Address - Phone:541-737-9355
Mailing Address - Fax:
Practice Address - Street 1:201 PLAGEMAN BLDG
Practice Address - Street 2:OREGON STATE UNIVERSITY
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97331-8567
Practice Address - Country:US
Practice Address - Phone:541-737-9355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-03
Last Update Date:2010-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD 14124207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine