Viyada Thongouthaithip, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD 12967 Issued in OR

Practice address

9155 SW Barnes Rd Ste 310
Portland, OR 97225-6630

Phone

(503) 297-8491

Fax

(503) 297-8492

NPI assigned

Jul 10, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212364800000",
    "number": "1144254194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9155 SW BARNES RD STE 310",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256630",
            "telephone_number": "503-297-8491",
            "fax_number": "503-297-8492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9155 SW BARNES RD STE 310",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256630",
            "telephone_number": "503-297-8491",
            "fax_number": "503-297-8492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THONGOUTHAITHIP",
        "first_name": "VIYADA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "MD 12967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "93 0797900",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "24728-8",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Skipp Thomsen, CF-SLP
• Holly Michelle Thomson, MD
• Jacqueline Thomson
• Katelyn Thomson, RDH, BSDH
• Ruth Marie Thomson, D.O.
• Molly Ann Thorburn, RDH
• Victoria Douglas Thoreson, PSY.D.
• Thorn Wellness LLC
• Joclyn Thornburg
• Meghan Bernadette Thornburg

• Specialist in Portland, OR
• Providers in Portland, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.