Individual
BROOKE CARMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5920 NE RAY CIR, STE. 160, HILLSBORO, OR 97124-6429
(503) 844-9294
(503) 615-0212
Mailing address
16083 SW UPPER BOONES FERRY RD, SUITE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60504
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500670935
—
OR
Enumeration date
03/21/2014
Last updated
02/12/2015
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