Individual
DR. KEREAH CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C
Contact information
Practice address
14355 SW ALLEN BLVD, STE 100, BEAVERTON, OR 97005-4700
(503) 642-3423
Mailing address
14355 SW ALLEN BLVD, STE 100, BEAVERTON, OR 97005-4700
(503) 642-3423
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
27 2818
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116900
—
OR
01
—
27 2818
CHIROPRACTIC PHYSICIAN
OR
Enumeration date
05/02/2007
Last updated
08/14/2023
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