KOREY THIELEKE
Residential Treatment Facility, Emotionally Disturbed Children
Active
Individual
NPI: 1033892526
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Residential Treatment Facility, Emotionally Disturbed Children | 322D00000X | Yes | - |
Frequently Asked Questions
NPI 1033892526 is the National Provider Identifier for KOREY THIELEKE, a Residential Treatment Facility, Emotionally Disturbed Children provider located in Beaverton, OR. This NPI was enumerated on August 10, 2023.
KOREY THIELEKE practices at 16535 SW TUALATIN VALLEY HWY, Beaverton, OR 97003.
Quick Facts
- NPI
- 1033892526
- Type
- Individual
- Enumerated
- Aug 10, 2023
- Last Updated
- Aug 10, 2023
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