Carly Joanna Thompson in Portland - Residential Treatment Facility, Emotionally Disturbed Children
Carly Joanna Thompson - NPI 1710174404
Carly Joanna Thompson is a Residential Treatment Facility, Emotionally Disturbed Children in Portland, Oregon. Carly Joanna Thompson practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Carly Joanna Thompson is 1710174404. The last update date is 2007-09-26.
Carly Joanna Thompson's current location address is 722 Ne 162nd Ave, Portland, Oregon. You can contact this provider via phone number 5032554205 and fax number 5032610988. The mailing address for Carly Joanna Thompson is 722 Ne 162nd Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carly Joanna Thompson |
|---|---|
| Address | 722 Ne 162nd Ave, Portland, Oregon |
| Phone Number | 5032554205 |
| Fax Number | 5032610988 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1710174404 |
|---|---|
| Provider Enumeration Date | 2007-09-26 |
| Last Updated Date | 2007-09-26 |
Provider Mailing Address Detail
| Address | 722 Ne 162nd Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972305760 |
| Phone Number | 5032554205 |
| Fax Number | 5032610988 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
|
Definition: 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. |
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Post Comment/ Review Below
What is the Carly Joanna Thompson's unique identification number?
The Carly Joanna Thompson has been assigned the NPI (National Provider Identifier) Number 1710174404 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Carly Joanna Thompson located?
The Carly Joanna Thompson is located at 722 Ne 162Nd Ave, Portland, OR 972305760.
What is Carly Joanna Thompson's area of expertise and its corresponding taxonomy classification?
The Carly Joanna Thompson's field of specialization is Residential Treatment Facility, Emotionally Disturbed Children, and it falls under the taxonomy code 322D00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1710174404 to Carly Joanna Thompson?
The Centers for Medicare & Medicaid Services assigned the 1710174404 to Carly Joanna Thompson on 2007-09-26.
As of what date were the details related to Carly Joanna Thompson most recently updated or revised?
The information pertaining to Carly Joanna Thompson, including its address, specialty, and other relevant details, was last updated or revised on 2007-09-26.
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