Individual
MS. CAROLYN ROBERTA FEATHERSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW,LCSW,LICSW
Contact information
Practice address
73265 CONFEDERATED WAY, PENDLETON, OR 97801
(541) 966-9830
(541) 278-7572
Mailing address
712 NW 3RD DR, PENDLETON, OR 97801-1411
(541) 278-9397
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
L3668
OR
101Y00000X
Counselor
LW00008047
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171037
—
OR
Enumeration date
08/16/2006
Last updated
07/08/2007
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