Individual
BARBARA CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
18000 SE STARK ST, PORTLAND, OR 97233-4828
(503) 489-0567
(503) 489-0568
Mailing address
18000 SE STARK ST, PORTLAND, OR 97233-4828
(503) 489-0567
(503) 489-0568
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C3994
OR
Other
Enumeration date
03/13/2015
Last updated
01/07/2016
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