Individual
PENNY RAE DOBBINS-CHARBONNEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
722 NE 162ND AVE, PORTLAND, OR 97230-5760
(503) 341-6895
Mailing address
722 NE 162ND AVE, PORTLAND, OR 97230-5760
(503) 341-6895
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OR
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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