Individual
DUSTIE MARIE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1035 W ANTLER AVE, REDMOND, OR 97756-2134
(458) 312-9719
Mailing address
1035 W ANTLER AVE, REDMOND, OR 97756-2134
(458) 312-9719
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OR
Other
Enumeration date
07/28/2026
Last updated
07/28/2026
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