Korey Thieleke

NPI #1033892526 in Beaverton, Oregon

Provider Information

NPI Number
1033892526
Entity Type
Individual
Name
Korey Thieleke
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date
Aug 10, 2023
Last Updated
Aug 10, 2023

Practice Location

Address
16535 SW TUALATIN VALLEY HWY
State
Oregon
ZIP Code
97003-5143
Phone
(503) 649-5651

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Emotionally Disturbed Children

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