Individual
CAROLYN HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4622 SE HAIG ST, PORTLAND, OR 97206-3149
(707) 483-9075
Mailing address
4622 SE HAIG ST, PORTLAND, OR 97206-3149
(707) 483-9075
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
202003590RN
OR
Other
Enumeration date
10/08/2020
Last updated
01/21/2023
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