Molly Ann Thorburn, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

H3129 Issued in OR

Practice address

5025 SE 28TH Ave.
Portland, OR 97202

Phone

(503) 238-4418

NPI assigned

Oct 5, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kaiser Dental

  • Dental Assistant
  • Portland, OR
  • NPI 1003965922
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942396882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 N. WYGANT ST.",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97217",
            "telephone_number": "503-240-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5025 SE 28TH AVE.",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97202",
            "telephone_number": "503-238-4418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORBURN",
        "first_name": "MOLLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "OR",
            "license": "H3129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "472",
            "identifier": "H3129",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly Michelle Thomson, MD
• Jacqueline Thomson
• Katelyn Thomson, RDH, BSDH
• Ruth Marie Thomson, D.O.
• Viyada Thongouthaithip, M.D.
• Victoria Douglas Thoreson, PSY.D.
• Thorn Wellness LLC
• Joclyn Thornburg
• Meghan Bernadette Thornburg
• Daniel Chafe Thornbury

• Dental Hygienist in Portland, OR
• Providers in Portland, OR by specialty
• Dental Hygienist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.