Individual
CAROL D DODSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN, MS, PMHNP
Contact information
Practice address
2133 NE BROADWAY, PORTLAND, OR 97232-1512
(503) 939-9855
Mailing address
5723 SE 20TH AVE, PORTLAND, OR 97202-5223
(503) 939-9855
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
OR
Other
Enumeration date
11/09/2005
Last updated
07/08/2007
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