Healthcare Provider Details

I. General information

NPI: 1952844466
Provider Name (Legal Business Name): HEATHER KARPAN LVN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/01/2016
Last Update Date: 09/02/2022
Certification Date: 09/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6185 PASEO DEL NORTE STE 150
CARLSBAD CA
92011-1155
US

IV. Provider business mailing address

6601 NE 78TH CT STE A3
PORTLAND OR
97218-2823
US

V. Phone/Fax

Practice location:
  • Phone: 855-259-2288
  • Fax:
Mailing address:
  • Phone: 503-252-3949
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number201393466LPN
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number723434
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: