CARLY JOANNA THOMPSON

PORTLAND, OR
NPI1710174404
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy322D00000X Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date2007-09-26
Last Update Date2007-09-26
Business Address
-- CARLY JOANNA THOMPSON
722 NE 162ND AVE
PORTLAND, OR 97230-5760
Phone number: 503-255-4205
Mailing Address
-- CARLY JOANNA THOMPSON
3921 SE SALMON ST
PORTLAND, OR 97214-4432
Phone number: