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Individual

BERNADETTE ELIZABETH CARLSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
1017 SW MORRISON ST STE 505, PORTLAND, OR 97205-2630
(503) 406-0069
Mailing address
7336 N SYRACUSE ST, PORTLAND, OR 97203-5068
(503) 573-7483

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24859
OR

Other

Enumeration date
11/04/2022
Last updated
11/04/2022
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