Individual
LARRY WALTER THORNTON-JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1732 SE ASH ST, PORTLAND, OR 97214-1526
(503) 235-6171
(503) 235-6171
Mailing address
1732 SE ASH ST, PORTLAND, OR 97214-1526
(503) 235-6171
(503) 235-6171
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1859
OR
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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