Individual
BLAINE THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5100 SW MACADAM AVE STE 400, PORTLAND, OR 97239-3854
(503) 244-5211
Mailing address
3510 SE SHERRY LN APT 5, PORTLAND, OR 97222-1715
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/11/2015
Last updated
11/11/2015
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