Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carly Joanna Thompson

Individual provider Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1710174404

Carly Joanna Thompson is an Emotionally Disturbed Childrens' Residential Treatment Facility in Portland, Oregon. Practices as a sole proprietor. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

722 NE 162nd Ave
Portland, OR 97230-5760
Phone: (503) 255-4205
Fax: (503) 261-0988
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X

Record details

NPI number1710174404
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 26, 2007
Last updated in NPPESSeptember 26, 2007

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