Individual
CARRIE IVY BYLOOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2049 NW HOYT ST, PORTLAND, OR 97209-1260
(503) 321-5127
Mailing address
6118 SE BELMONT ST STE 409, PORTLAND, OR 97215-1983
(503) 367-4097
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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