LEWIS REID THURSTON

SALEM, OR
NPI1316509359
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2019-06-29
Last Update Date2022-10-31
Business Address
LEWIS REID THURSTON BA
780 COMMERCIAL ST SE STE 104
SALEM, OR 97301-3465
Phone number: 971-901-2731
Mailing Address
LEWIS REID THURSTON BA
10709 NE FOX FARM RD
DUNDEE, OR 97115-9119
Phone number: 503-537-1166