Individual
DR. CRAIG GERALD THORSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1045 WILLAGILLESPIE RD, STE 200, EUGENE, OR 97401-6798
(541) 343-7171
(541) 284-1765
Mailing address
1045 WILLAGILLESPIE RD, SUITE 200, EUGENE, OR 97401-6798
(541) 343-7171
(541) 284-1765
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0755
OR
103TC2200X
Clinical Child & Adolescent Psychologist
0755
OR
103TF0000X
Family Psychologist
0755
OR
Other
Enumeration date
12/29/2006
Last updated
01/29/2016
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