Individual
MARIELLEN CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9115 SW OLESON RD, PORTLAND, OR 97223-6875
(971) 236-0915
Mailing address
32691 STONE RD, WARREN, OR 97053-9713
(503) 428-8058
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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