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Individual

PETER RAYMOND CARPENTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OT

Contact information

Practice address
1815 SW MARLOW AVE, STE 110, PORTLAND, OR 97225-5185
(503) 292-0765
(503) 292-5208
Mailing address
1815 SW MARLOW AVE, STE 110, PORTLAND, OR 97225-5185
(503) 292-0765
(503) 292-5208

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
256636
OR

Other

Enumeration date
09/01/2009
Last updated
09/01/2009
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