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KOREY THIELEKE
NPI 1033892526
Residential Treatment Facility, Emotionally Disturbed Children in Beaverton, OR

Active since August 10, 2023
16535 SW TUALATIN VALLEY HWY, BEAVERTON, OR 97003(503) 649-5651 Get Directions Write a Review

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Korey Thieleke NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KOREY THIELEKE (NPI 1033892526) is an individual residential treatment facility, emotionally disturbed children provider in Beaverton, Oregon and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1033892526
Entity TypeIndividualMale
Primary Taxonomy322D00000X
Provider Legal NameKOREY THIELEKE
Location Address16535 SW TUALATIN VALLEY HWYBeaverton, OR 97003-5143
Mailing Address16535 Sw Tualatin Valley HwyBeaverton, OR 97003-5143 · (503) 649-5651
Phone(503) 649-5651
Sole ProprietorYes
Enumeration DateAugust 10, 2023
NPPES CertifiedAugust 10, 2023
✔ NPI 1033892526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
16535 SW TUALATIN VALLEY HWY, Beaverton, OR 97003
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. TRAESON MICHAEL RINELL BA
Case Manager/Care Coordinator
16535 SW TUALATIN VALLEY HWY
BEAVERTON, OR 97003
Washington County (503) 259-3142
JOHN TRAVIS STACY BA
Counselor
16535 SW TUALATIN VALLEY HWY
BEAVERTON, OR 97003
Washington County (503) 649-5651
MR. JONATHAN SKLAR M.S.
Marriage & Family Therapist
16535 SW TUALATIN VALLEY HWY
BEAVERTON, OR 97003
Washington County (503) 649-5651
KAYLN CLINKENBEARD
Counselor (Mental Health)
16535 SW TUALATIN VALLEY HWY
BEAVERTON, OR 97003
Washington County (503) 649-5651
ALICIA LAJEUNESSE
Social Worker
16535 SW TUALATIN VALLEY HWY
BEAVERTON, OR 97003
Washington County (503) 259-3138
ALYSHA MARIE FURRER BA
Counselor
16535 SW TUALATIN VALLEY HWY
BEAVERTON, OR 97003
Washington County (503) 259-3142
JEFFREY GENE YORK MFT
Marriage & Family Therapist
16535 SW TUALATIN VALLEY HWY
BEAVERTON, OR 97003
Washington County (503) 649-5651
CRISTINA TERESA GONZALES BSW
Counselor (Mental Health)
16535 SW TUALATIN VALLEY HWY
BEAVERTON, OR 97003
Washington County (503) 259-3145

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Korey Thieleke's NPI number?

The NPI number for Korey Thieleke is 1033892526. It was assigned to this individual provider in the NPPES registry on August 10, 2023.

Where is Korey Thieleke located?

Korey Thieleke practices at 16535 SW Tualatin Valley Hwy, Beaverton, OR 97003. The listed phone number is (503) 649-5651.

What is Korey Thieleke's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Korey Thieleke was last updated on August 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.