CARLY JOANNA THOMPSON NPI 1710174404

NPI Information

Carly Joanna Thompson is a residential treatment facility emotionally disturbed children in Portland, OR. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. Carly Joanna Thompson NPI is 1710174404. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

722 NE 162ND AVE
PORTLAND, OR
ZIP 97230-760
Phone: (503) 255-4205
Fax: (503) 261-0988

The enumeration date for this NPI number is 9/26/2007 and was last updated on 9/26/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.