Korey Thieleke
Korey Thieleke is an Emotionally Disturbed Childrens' Residential Treatment Facility in Beaverton, Oregon. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
16535 SW Tualatin Valley HwyBeaverton, OR 97003-5143
Phone: (503) 649-5651
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Specialties & licences
| Emotionally Disturbed Childrens' Residential Treatment Facility (primary) | Taxonomy 322D00000X |
|---|
Record details
| NPI number | 1033892526 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 10, 2023 |
| Last updated in NPPES | August 10, 2023 |
| Certification date | August 10, 2023 |
| Mailing address | 16535 Sw Tualatin Valley Hwy, Beaverton, OR 97003-5143 |
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