Individual
LINDA L CARMICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
CALDERA WELLNESS, 6023 SE STEPHENS STREET, PORTLAND, OR 97215-3458
(541) 510-8741
Mailing address
6023 SE STEPHENS ST, PORTLAND, OR 97215-3458
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
083039667N1
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041967
—
OR
Enumeration date
08/01/2006
Last updated
09/13/2024
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