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General NPI Number Information
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NPI Number | 1902331168
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Entity Type | Organization
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Legal Business Name | KAREN CARLETON, ND
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Dates
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Enumeration Date | 04/25/2017
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Last Update Date | 04/25/2017
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Provider Practice Location Address
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Address Line | 2274 NW RALEIGH ST
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City | PORTLAND
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State | OR
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Zip | 97210-2766
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Country | US
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Telephone | 503-421-9342
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Fax |
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Provider Business Mailing Address
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Address Line | 2274 NW RALEIGH ST
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City | PORTLAND
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State | OR
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Zip | 97210-2766
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Country | US
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Telephone | 503-421-9342
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Fax |
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Authorized Official
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Title or Position | NATUROPATHIC DOCTOR
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Name | KAREN CARLETON
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Credential | ND
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Telephone | 503-421-9342
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 1606
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License Number State | OR
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