Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARLY JOANNA THOMPSON
Active Sole ProprietorResidential Treatment, Emotionally Disturbed Children · PORTLAND, OR
Registration Details
- NPI Number
- 1710174404
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 26, 2007 (18.569757687109 yrs)
- Last Updated
- Sep 26, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
722 NE 162ND AVEPORTLAND, OR, 972305760Browse OR providers · Browse ZIP 97230
- Phone
- 5032554205
- Fax
- 5032610988
- Primary Specialty
-
Residential Treatment, Emotionally Disturbed Children
322D00000X
Other Residential Treatment, Emotionally Disturbed Children Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| MS. THELISSA D CASLEY | — | 1669666061 |
| JENNIFER GARCIA | — | 1760766349 |
| AMY NORTH | — | 1336795905 |
| AMINA BACHIR | — | 1629649652 |
| ISABELLE MEGAN COUCH | — | 1740909191 |
| CAITLIN BELLE GILES | — | 1184332587 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.