John William Thompson

NPI #1558732966 in Portland, Oregon

Provider Information

NPI Number
1558732966
Entity Type
Individual
Name
John William Thompson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
Oct 12, 2015
Last Updated
Oct 12, 2015

Practice Location

Address
5538 NE 24TH AVE
State
Oregon
ZIP Code
97211-6206
Phone
(503) 757-0827

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Mental Illness

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