Most Relevant Information
Provider Data
| NPI Number: | 1003316043 |
| Provider Name: | JENNY THOM LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | C6096 |
Most Important Dates
| Enumeration Date: | 02/16/2018 |
| Last Updated: | 10/08/2021 |
Provider Practice Location
10700 SW BEAVERTON HILLSDALE HWY
PORTLAND
OR
97229
Practice Location Phone/Fax
| Phone: | 5036411475 |
| Fax: |
Provider Mailing Location
10700 SW BEAVERTON HILLSDALE HWY
BEAVERTON
OR
970053019
Provider Mailing Phone/Fax
| Phone: | 5036411475 |
| Fax: |