Individual
MRS. KAREN CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3016 NE BROADWAY ST, PORTLAND, OR 97232-1811
(503) 287-6638
(503) 287-4044
Mailing address
PO BOX 10827, PORTLAND, OR 97296-0827
(503) 989-2338
(503) 236-7722
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10244
WA
225100000X
Physical Therapist
Primary
3571
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228823
—
OR
Enumeration date
12/05/2005
Last updated
07/08/2007
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