Carla Frances Halvorson

Individual provider Active NPI Attendant Care Provider · Woodburn, OR

NPI 1629628839 · NPPES record last updated Sep 19, 2019

Key facts

NPI
1629628839
Entity type
Individual (NPI type 1)
Primary specialty
Attendant Care Provider 3747A0650X
Practice address
955 Carol St Apt D
Woodburn, OR 97071
Phone
(503) 220-8262
NPI assigned
Sep 19, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care Provider 3747A0650X Yes

Addresses

Primary practice location

955 Carol St Apt D
Woodburn, OR 97071

Mailing address

955 Carol St Apt D
Woodburn, OR 97071

Other providers in Woodburn, OR

All providers in Woodburn, OR · Attendant Care Provider in Oregon

Sources for this page

Verify at the official NPI Registry.