Individual
KARESE UNDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6400 SE LAKE RD STE 175, PORTLAND, OR 97222-2137
(628) 587-7237
Mailing address
2499 NE JOHN OLSEN AVE, BEAVERTON, OR 97006-6468
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
ABA-IN-10254349
OR
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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