Individual
MRS. MADELINE KATHERINE KOULOURIS-MCCARVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8316 SE RHONE ST, PORTLAND, OR 97266-2931
(503) 415-0330
Mailing address
8316 SE RHONE ST, PORTLAND, OR 97266-2931
(503) 415-0330
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200841829RN
OR
Other
Enumeration date
08/14/2008
Last updated
08/14/2008
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