CHRISTIAN DREW THOMPSON
NPI 1629541230
Counselor - Mental Health in Fairview, OR
Active since January 07, 2019
About Christian Drew Thompson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHRISTIAN DREW THOMPSON (NPI 1629541230) is an individual mental health provider in Fairview, Oregon and active in the NPI registry since January 2019.
NPPES Registry Identity
NPI1629541230
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameCHRISTIAN DREW THOMPSON
Location Address1945 NE 205TH AVEFairview, OR 97024-9622
Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170 · Fax (541) 858-8167
Phone(503) 661-8050
Fax(503) 492-4651
Sole ProprietorNo
Enumeration DateJanuary 7, 2019
Last NPPES UpdateDecember 22, 20214 updates tracked since enumeration
NPPES CertifiedDecember 22, 2021
✔ NPI 1629541230 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1945 NE 205TH AVE, Fairview, OR 97024
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.
Psychiatric Residential Treatment Facility
1945 NE 205TH AVE
FAIRVIEW, OR 97024
FAIRVIEW, OR 97024
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629541230, enumerated as an "individual" on January 07, 2019.
The provider is located at 1945 NE 205TH AVE FAIRVIEW, OR 97024 and the phone number is (503) 661-8050.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.