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CARLY JOANNA THOMPSON
NPI 1710174404
Residential Treatment Facility, Emotionally Disturbed Children in Portland, OR

Active since September 26, 2007
722 NE 162ND AVE, PORTLAND, OR 97230(503) 255-4205(503) 261-0988 Get Directions Write a Review

NPPES record last updated: September 26, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carly Joanna Thompson NPPES

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

CARLY JOANNA THOMPSON (NPI 1710174404) is an individual residential treatment facility, emotionally disturbed children provider in Portland, Oregon and active in the NPI registry since September 2007.

NPPES Registry Identity

NPI1710174404
Entity TypeIndividualFemale
Primary Taxonomy322D00000X
Provider Legal NameCARLY JOANNA THOMPSON
Location Address722 NE 162ND AVEPortland, OR 97230-5760
Mailing Address3921 Se Salmon StPortland, OR 97214-4432
Phone(503) 255-4205
Fax(503) 261-0988
Sole ProprietorYes
Enumeration DateSeptember 26, 2007
✔ NPI 1710174404 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.
722 NE 162ND AVE, Portland, OR 97230
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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.

ALBERTINA KERR CENTERS
Community Based Residential Treatment Facility, Mental Illness
722 NE 162ND AVE
PORTLAND, OR 97230
Multnomah County (503) 408-5016
MS. KRISTINA MARIE DAY BSN, RN
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
722 NE 162ND AVE
PORTLAND, OR 97230
Multnomah County (503) 489-2831
MRS. ANNA MICHELE DOOGAN MA
Counselor (Mental Health)
722 NE 162ND AVE
PORTLAND, OR 97230
Multnomah County (503) 408-4740
MR. FRANK TZEO MS
Counselor (Mental Health)
722 NE 162ND AVE
PORTLAND, OR 97230
Multnomah County (503) 255-4205
MS. JESSICA ANNE GRIESINGER
Social Worker
722 NE 162ND AVE
PORTLAND, OR 97230
Multnomah County (503) 239-8101
MICHAEL DESCLOUX RN
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
722 NE 162ND AVE
PORTLAND, OR 97230
Multnomah County (503) 408-5016
KATELYN SNYDER
Behavior Technician
722 NE 162ND AVE, KATELYN SNYDER
PORTLAND, OR 97230
Multnomah County (971) 381-8240
MADELINE SNELL
Counselor (Mental Health)
722 NE 162ND AVE
PORTLAND, OR 97230
Multnomah County (503) 262-0145

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 Carly Thompson's NPI number?

The NPI number for Carly Thompson is 1710174404. It was assigned to this individual provider in the NPPES registry on September 26, 2007.

Where is Carly Thompson located?

Carly Thompson practices at 722 NE 162nd Ave, Portland, OR 97230. The listed phone number is (503) 255-4205.

What is Carly Thompson'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 Carly Thompson was last updated on September 26, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.