BLAINE THORNTON

PORTLAND, OR
NPI1770956856
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2015-11-11
Last Update Date2015-11-11
Business Address
-- BLAINE THORNTON
5100 SW MACADAM AVE STE 400
PORTLAND, OR 97239-3854
Phone number: 503-244-5211
Mailing Address
-- BLAINE THORNTON
3510 SE SHERRY LN APT 5
PORTLAND, OR 97222-1715
Phone number:
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