Individual
CAROLE BURGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
790 ASTOR ST, ASTORIA, OR 97103-4244
(503) 325-0241
(503) 325-8483
Mailing address
2120 EXCHANGE ST STE 301, ASTORIA, OR 97103-3364
(503) 325-0241
(503) 325-8483
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/08/2015
Last updated
02/08/2015
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