Thompson, Carly Joanna

Thompson, Carly Joanna is an sole proprietor health care provider with primary practice located at 722 Ne 162Nd Ave , Portland OR 97230-5760. She recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as her primary health care specialty. Thompson, Carly Joanna can be contacted via phone (503) 255-4205.

Contact Information

Primary practice address
722 Ne 162Nd Ave Portland OR 97230-5760
Phone: (503) 255-4205
Fax: (503) 261-0988
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X

Profile Details

NPI number 1710174404
LBN Legal business name Thompson, Carly Joanna
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2007
Last updated Sep 26th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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