Ethan Thompson

NPI 1346005279 · on the registry since 2024

Practice

Address: 621 W Madrone St
Roseburg, OR 97470
Phone: (541) 672-2691
Organisation at this address: Adapt
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County Of Douglas
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 306

Registry record

Primary taxonomy: Peer Specialist
175T00000X
Also registered as: Mental Health Counselor
Case Manager/Care Coordinator
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-02-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon