Individual
CARRIE ROBERSONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5329 NE MARTIN LUTHER KING BLVD, PORTLAND, OR 97211-3237
(206) 458-4342
Mailing address
5021 NE 13TH AVE, PORTLAND, OR 97211-5079
(206) 458-4342
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
THW000108287
OR
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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