Organization
LARRY THORNTON-JONES, LCSW, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY THORNTON-JONES LCSW (OWNER/PRESIDENT)
(503) 235-6171
Entity
Organization
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
12/10/2013
Last updated
12/10/2013
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