Provider Demographics
NPI:1417575895
Name:CARSEY, VALERIE JOY (LMT)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:JOY
Last Name:CARSEY
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5035 NE ELAM YOUNG PKWY STE 300
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97124-6489
Mailing Address - Country:US
Mailing Address - Phone:503-626-3700
Mailing Address - Fax:
Practice Address - Street 1:5035 NE ELAM YOUNG PKWY STE 300
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97124-6489
Practice Address - Country:US
Practice Address - Phone:503-626-3700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-11
Last Update Date:2020-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR15745225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist