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Korey Thieleke
Emotionally Disturbed Childrens' Residential Treatment Facility in Beaverton, Oregon
NPI 1033892526

Korey Thieleke is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Beaverton, OR. Korey Thieleke practices in Beaverton, OR. The NPI Number for Korey Thieleke is 1033892526 and holds a License No. (Oregon).

The current practice location address for Korey Thieleke is 16535 Sw Tualatin Valley Hwy, Beaverton, OR and can be reached out via phone at 503-649-5651.

Location: 16535 Sw Tualatin Valley Hwy, Beaverton, OR, 97003-5143
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033892526
Provider Name
Korey Thieleke
Credential
Provider Entity Type
Individual
Gender
Male
Address
16535 Sw Tualatin Valley Hwy, Beaverton, OR, 97003-5143
Phone Number
503-649-5651
Fax Number
Provider Enumeration Date
08/10/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
16535 Sw Tualatin Valley Hwy
City
Beaverton
State
Oregon
Zip
97003-5143
Phone Number
503-649-5651
Fax Number
person
Provider Business Mailing Address Details
Address
16535 Sw Tualatin Valley Hwy
City
Beaverton
State
Oregon
Zip
97003-5143
Phone Number
503-649-5651
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
()
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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