Individual
DR. RYAN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
501 N VILLA RD, NEWBERG, OR 97132-1818
(540) 466-1004
(540) 227-6879
Mailing address
2355 STATE ST STE 101, SALEM, OR 97301-4541
(540) 466-1004
(540) 227-6879
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
0810005777
VA
103TC0700X
Clinical Psychologist
Primary
3612
OR
103TC0700X
Clinical Psychologist
P-2994
TN
Other
Enumeration date
07/12/2013
Last updated
02/16/2024
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