Provider Demographics
NPI:1851313142
Name:JONES, CARRIE E (ND)
Entity Type:Individual
Prefix:DR
First Name:CARRIE
Middle Name:E
Last Name:JONES
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1422 SE MARION ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97202-7151
Mailing Address - Country:US
Mailing Address - Phone:503-730-6725
Mailing Address - Fax:
Practice Address - Street 1:7357 SW BEVELAND ST
Practice Address - Street 2:SUITE 200
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223-6467
Practice Address - Country:US
Practice Address - Phone:503-730-6725
Practice Address - Fax:503-670-4941
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1427175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath