Individual
CHARLOTTE MARIE HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97232-2941
(503) 232-3854
(503) 232-3854
Mailing address
30 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97232-2941
(503) 232-3854
(503) 232-3854
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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