Individual
THOMAS EDWARD FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
912 NE KELLY AVE UNIT 100C, GRESHAM, OR 97030-5629
(503) 912-5502
Mailing address
1785 NE 19TH ST, GRESHAM, OR 97030-4329
(614) 578-7100
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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