John William Thompson
John William Thompson is a Mental Illness Community Based Residential Treatment Facility in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2015
Practice location Address checks out
5538 NE 24th AvePortland, OR 97211-6206
Phone: (503) 757-0827
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Specialties & licences
| Mental Illness Community Based Residential Treatment Facility (primary) | Taxonomy 320800000X · Licence 320800000X (OR) |
|---|
Record details
| NPI number | 1558732966 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 12, 2015 |
| Last updated in NPPES | October 12, 2015 |
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