person
John William Thompson
Mental Illness Community Based Residential Treatment Facility in Portland, Oregon
NPI 1558732966

John William Thompson is a Mental Illness Community Based Residential Treatment Facility based in Portland, OR. John William Thompson practices in Portland, OR. The NPI Number for John William Thompson is 1558732966 and holds a License No. 320800000X (Oregon).

The current practice location address for John William Thompson is 5538 Ne 24Th Ave, Portland, OR and can be reached out via phone at 503-757-0827.

Location: 5538 Ne 24Th Ave, Portland, OR, 97211-6206
person
Provider Profile Details
NPI Number
1558732966
Provider Name
John William Thompson
Credential
Provider Entity Type
Individual
Gender
Male
Address
5538 Ne 24Th Ave, Portland, OR, 97211-6206
Phone Number
503-757-0827
Fax Number
Provider Enumeration Date
10/12/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5538 Ne 24Th Ave
City
State
Zip
97211-6206
Phone Number
503-757-0827
Fax Number
person
Provider Business Mailing Address Details
Address
5538 Ne 24Th Ave
City
State
Zip
97211-6206
Phone Number
503-757-0827
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
License No.
320800000X (Oregon)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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