Healthcare Provider Details

I. General information

NPI: 1770642621
Provider Name (Legal Business Name): CAROL ANN ZAMARRA N.D., L.M.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CAROL ANN GORDON

II. Dates (important events)

Enumeration Date: 12/07/2006
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4950 NE BELKNAP CT SUITE 202
HILLSBORO OR
97124
US

IV. Provider business mailing address

4950 NE BELKNAP CT SUITE 202
HILLSBORO OR
97124
US

V. Phone/Fax

Practice location:
  • Phone: 503-591-8855
  • Fax: 503-591-1595
Mailing address:
  • Phone: 503-591-8855
  • Fax: 503-591-1595

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number1519
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number10311
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: