Individual
CARSEN LEVI OTHAIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97232-2941
(503) 232-1099
Mailing address
19100 E BURNSIDE ST APT F341, PORTLAND, OR 97233-5899
(971) 207-9719
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OR
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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