Individual
CASEY CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18565 W BASELINE RD STE A, ALOHA, OR 97006-2942
(503) 352-4378
Mailing address
18565 W BASELINE RD STE A, ALOHA, OR 97006-2942
(503) 352-4378
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
28071
OR
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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