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Individual

CARLA G DORSEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
833 SW 11TH AVE, SUITE 710, PORTLAND, OR 97205-2125
(503) 720-1893
(503) 296-2190
Mailing address
833 SW 11TH AVE, SUITE 710, PORTLAND, OR 97205-2121
(503) 720-1893
(503) 296-2190

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
16493
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
022843
OR
Enumeration date
11/29/2006
Last updated
01/23/2017
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