Carly Joanna Thompson

NPI #1710174404 in Portland, Oregon

Provider Information

NPI Number
1710174404
Entity Type
Individual
Name
Carly Joanna Thompson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date
Sep 26, 2007
Last Updated
Sep 26, 2007

Practice Location

Address
722 NE 162ND AVE
State
Oregon
ZIP Code
97230-5760
Phone
(503) 255-4205

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Emotionally Disturbed Children

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