Individual
LUQRISHIA CARLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4585 SW 185TH AVE, ALOHA, OR 97078-1557
(503) 591-9280
Mailing address
4585 SW 185TH AVE, ALOHA, OR 97078-1557
(503) 591-9280
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/31/2016
Last updated
10/31/2016
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