Individual
LISA CARBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 SE 3RD AVE, SUITE 100, HILLSBORO, OR 97123-4093
(503) 693-3104
Mailing address
PO BOX 3007, PORTLAND, OR 97208-3007
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/24/2011
Last updated
03/24/2011
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