Provider Demographics
NPI:1366692618
Name:CARLETON, KAREN M (ND)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:M
Last Name:CARLETON
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3701 SE MILWAUKIE AVE
Mailing Address - Street 2:SUITE F
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97202-3835
Mailing Address - Country:US
Mailing Address - Phone:503-239-7341
Mailing Address - Fax:503-239-7350
Practice Address - Street 1:3701 SE MILWAUKIE AVE
Practice Address - Street 2:SUITE F
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97202-3835
Practice Address - Country:US
Practice Address - Phone:503-239-7341
Practice Address - Fax:503-239-7350
Is Sole Proprietor?:No
Enumeration Date:2008-09-23
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1606175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath