Individual
NICOLAS CHARBONNIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8425 N LOMBARD ST, PORTLAND, OR 97203-3728
(503) 283-4776
(503) 283-0716
Mailing address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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