Individual
MEADE CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
182 SW ACADEMY ST, DALLAS, OR 97338-1996
(503) 962-3938
Mailing address
350 13TH ST NE APT 320, SALEM, OR 97301-8277
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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