Individual
CAROLYN ALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3104 NE 49TH AVE, PORTLAND, OR 97213-1847
(503) 280-0380
(971) 327-8729
Mailing address
3104 NE 49TH AVE, PORTLAND, OR 97213-1847
(503) 280-0380
(971) 327-8729
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1653
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1653
PT LICENSE NUMBER
OR
Enumeration date
06/12/2006
Last updated
07/08/2007
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