Individual
CARLEEN EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
18676 SW BOONES FERRY RD, TUALATIN, OR 97062-8435
(971) 404-1736
Mailing address
15703 SW WILLOW CT, SHERWOOD, OR 97140-8697
(503) 867-9387
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225700000X
Massage Therapist
Primary
20620
OR
Other
Enumeration date
11/15/2007
Last updated
11/04/2022
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