Individual
KARAH LEANN MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8515 STAYTON RD SE, TURNER, OR 97392-9752
(503) 509-8063
Mailing address
3584 JEFFERSON MARION RD SE, JEFFERSON, OR 97352-9276
(503) 509-8063
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
202005944LPN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202005944LPN
STATE BOARD OF NURSING
OR
01
—
791480
STATE PERSONAL SUPPORT WORKER
OR
Enumeration date
08/06/2022
Last updated
08/06/2022
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