Provider Demographics
NPI:1588380190
Name:THOMPSON NORDQUIST, SIERRA MORGAINE LOMONT (NTP, CH, QMHA)
Entity type:Individual
Prefix:MS
First Name:SIERRA
Middle Name:MORGAINE LOMONT
Last Name:THOMPSON NORDQUIST
Suffix:
Gender:F
Credentials:NTP, CH, QMHA
Other - Prefix:MS
Other - First Name:SIERRA
Other - Middle Name:MORGAINE LOMONT
Other - Last Name:THOMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NTP, CH, QMHA
Mailing Address - Street 1:150 SHELTON MCMURPHEY BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-5015
Mailing Address - Country:US
Mailing Address - Phone:541-210-8090
Mailing Address - Fax:541-210-5310
Practice Address - Street 1:150 SHELTON MCMURPHEY BLVD STE 101
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-5015
Practice Address - Country:US
Practice Address - Phone:541-210-8090
Practice Address - Fax:541-210-5310
Is Sole Proprietor?:No
Enumeration Date:2022-10-14
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor