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Individual

KAREN L ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
535 OCEAN AVE, PORTLAND, ME 04103-4973
(207) 541-9285
(207) 773-7340
Mailing address
535 OCEAN AVE, PORTLAND, ME 04103-4973
(207) 541-9285
(207) 773-7340

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
1838
ME
207Q00000X
Family Medicine Physician
1838
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
413520099
ME
Enumeration date
07/12/2006
Last updated
07/23/2012
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