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Blaine Thornton
Mental Health Counselor in Portland, Oregon
NPI 1770956856

Blaine Thornton is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Blaine Thornton practices in Portland, OR. The NPI Number for Blaine Thornton is 1770956856 and holds a License No. (Oregon).

The current practice location address for Blaine Thornton is 5100 Sw Macadam Ave Ste 400, Portland, OR and can be reached out via phone at 503-244-5211.

Location: 5100 Sw Macadam Ave Ste 400, Portland, OR, 97222-1715
person
Provider Profile Details
NPI Number
1770956856
Provider Name
Blaine Thornton
Credential
Provider Entity Type
Individual
Gender
Male
Address
5100 Sw Macadam Ave Ste 400, Portland, OR, 97222-1715
Phone Number
503-244-5211
Fax Number
Provider Enumeration Date
11/11/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5100 Sw Macadam Ave Ste 400
City
State
Zip
97239-3854
Phone Number
503-244-5211
Fax Number
person
Provider Business Mailing Address Details
Address
5100 Sw Macadam Ave Ste 400
City
State
Zip
97239-3854
Phone Number
503-244-5211
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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