Bridget N Carlson QMHA

NPI 1225390685 - Adult Companion - 372600000X

NPI Details
NPI 1225390685
Gender Female
Enumeration Date 06/12/2012
Last Updated 06/12/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
5009 NE KILLINGSWORTH ST
PORTLAND OR, 97218-1915, US
Phone (503) 284-1794
Fax (503) 284-2093
Business Location
PO BOX 8459
PORTLAND OR, 97207-8459, US
Phone (503) 238-0769
Fax
Toxanomy
Taxonomy Code 372600000X
License State
License Number
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According to our database, Bridget N Carlson QMHA NPI is 1225390685, taxonomy code is 372600000X Bridget N Carlson QMHA physically located at 5009 Ne Killingsworth St, Portland OR, 97218-1915. NPI Number Bridget N Carlson QMHA has the Individual type.

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1225390685 NPI number is provided on an as is basis without warranty of any kind. 1225390685 is maintained by the National Plan & Provider Enumeration System. The contents of Bridget N Carlson QMHA are for informational purposes only.