Desiree Thompson
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Phoenix, OR
NPI 1124552872 · NPPES record last updated Apr 19, 2017
Key facts
- NPI
- 1124552872
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 149 N Main St
Phoenix, OR 97535 - Phone
- (541) 535-4133
- NPI assigned
- Apr 19, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
149 N Main St
Phoenix, OR 97535
Mailing address
149 N Main St.
Phoenix, OR 97535
Phone (541) 210-3527
Other providers in Phoenix, OR
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- Diane L Stamper
- Gary M Stephens
- Angela Stiles
- Morgan Nicole Stoneway
- Thrifty Payless Inc
- Elizabeth Van Driel
- Hannah L Vanwinkle
- Andrea Nicole Walker
- Emily Dean Warren
All providers in Phoenix, OR · Addiction (Substance Use Disorder) Counselor in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.