Individual
MISS CAROLINE WA PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,BSN
Contact information
Practice address
1565 NE COCHRAN DR, GRESHAM, OR 97030-4411
(503) 477-5660
Mailing address
1565 NE COCHRAN DR, GRESHAM, OR 97030-4411
(503) 477-5660
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
OR
Other
Enumeration date
06/04/2014
Last updated
10/31/2025
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