Individual
HEATHER ADELL CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
THW
Contact information
Practice address
534 E MAIN ST, MEDFORD, OR 97504-7118
(541) 200-1530
(541) 772-0284
Mailing address
534 E MAIN ST, MEDFORD, OR 97504-7118
(541) 200-1530
(541) 772-0284
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
OR
374J00000X
Doula
Primary
113027
OR
Other
Enumeration date
07/25/2024
Last updated
07/24/2025
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