Individual
DYLAN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
506 SW 6TH AVE STE 905, PORTLAND, OR 97204-1528
(503) 223-5525
(503) 223-9091
Mailing address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/18/2014
Last updated
06/18/2014
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