JOHN WILLIAM THOMPSON

PORTLAND, OR
NPI1558732966
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy320800000X Community Based Residential Treatment Facility, Mental Illness
(Licence: OR  320800000X)
Enumeration Date2015-10-12
Last Update Date2015-10-12
Business Address
-- JOHN WILLIAM THOMPSON
5538 NE 24TH AVE
PORTLAND, OR 97211-6206
Phone number: 503-757-0827
Mailing Address
-- JOHN WILLIAM THOMPSON
5538 NE 24TH AVE
PORTLAND, OR 97211-6206
Phone number: 503-757-0827
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