Search › Oregon › 101Y00000X
Slade Thackeray, LPC
NPI 1992460703 · on the registry since 2021
Practice
- Address
- 1151 Sw Levens St
Dallas, OR 97338 - Phone
- (503) 910-6822
- Fax
- (971) 357-2444
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Also registered as
- 101YM0800X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-05-28
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