Individual
BRIAN CARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
300 N GRAHAM ST STE 430, PORTLAND, OR 97227-1667
(503) 413-1500
Mailing address
5970 KENNYCROFT WAY, LAKE OSWEGO, OR 97035-7026
(360) 624-1143
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
64557
OR
Other
Enumeration date
06/16/2022
Last updated
08/27/2024
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