Individual
REID THURSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW,MAC
Contact information
Practice address
1655 CAPITOL ST NE STE 7, SALEM, OR 97303-6445
(503) 507-4808
Mailing address
10709 NE FOX FARM RD, DUNDEE, OR 97115-9119
(503) 537-1166
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2913
OR
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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