Individual
MIGUEL D CARREON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, FNP-C, AAHIVS
Contact information
Practice address
314 NE 19TH AVE, PORTLAND, OR 97232-2829
(503) 719-4827
(503) 719-6224
Mailing address
2018 SE 6TH AVE, PORTLAND, OR 97214-4510
(503) 719-4827
(503) 212-9040
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201606485NP-PP
OR
Other
Enumeration date
08/16/2016
Last updated
08/05/2026
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