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Mariellen Carter

In Home Supportive Care in Portland, OR. Individual provider (NPI-1).

NPI number1255005260
StatusActive
Last updated in NPPESAug 3, 2021

Details

NPI
1255005260
Entity type
Individual (NPI-1)
Name
Mariellen Carter
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 3, 2021
Certification date
Aug 2, 2021
Last updated
Aug 3, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes

Practice location

9115 Sw Oleson Rd
Portland, OR 97223-6875

Phone 971-236-0915

Mailing address

32691 Stone Rd
Warren, OR 97053-9713

Phone 503-428-8058

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