| Doctor Name: | ROLAND LEE THOMPSON |
| NPI Number: | 1114053881 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 9053018 |
| Business Practice Address: | 2820 N Road 72 Pasco, WA - 993011919 |
| Business Phone Number: | 5095451416 |
| Business Fax Number: | 5095451430 |
| Mailing Address: | 2820 N Road 72, PASCO |
| State: | WA |
| Postal Code: | 993011919 |
| Phone Number: | 5095451416 |
| Fax Number: | 5095451430 |
| NPI Enumeration Date: | 02/26/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WH0200X |
| License Number: | 9053018 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Home Health |
| Taxonomy Definition: | |