Individual
CHRISTOPHER LEE THOEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
8770 SW SCOFFINS ST, TIGARD, OR 97223-6226
(503) 684-1424
(503) 684-1425
Mailing address
PO BOX 82507, PORTLAND, OR 97282-0507
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
200741788RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
200950069NP
OR
Other
Enumeration date
07/28/2009
Last updated
07/28/2009
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