Individual
PATRICK THULEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18765 SW BOONES FERRY RD, SUITE 100, TUALATIN, OR 97062-8496
(503) 233-5405
Mailing address
PO BOX 82819, PORTLAND, OR 97282-0819
(503) 233-5405
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
10180503
OR
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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