Thieleke, Korey

Thieleke, Korey is an sole proprietor health care provider with primary practice located at 16535 Sw Tualatin Valley Hwy , Beaverton OR 97003-5143. He recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as his primary health care specialty. Thieleke, Korey can be contacted via phone (503) 649-5651.

Contact Information

Primary practice address
16535 Sw Tualatin Valley Hwy Beaverton OR 97003-5143
Phone: (503) 649-5651
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X

Profile Details

NPI number 1033892526
LBN Legal business name Thieleke, Korey
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2023
Last updated Aug 10th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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