Provider Demographics
NPI:1902331168
Name:KAREN CARLETON, ND
Entity Type:Organization
Organization Name:KAREN CARLETON, ND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NATUROPATHIC DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:CARLETON
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:503-421-9342
Mailing Address - Street 1:2274 NW RALEIGH ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97210-2766
Mailing Address - Country:US
Mailing Address - Phone:503-421-9342
Mailing Address - Fax:
Practice Address - Street 1:2274 NW RALEIGH ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97210-2766
Practice Address - Country:US
Practice Address - Phone:503-421-9342
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-25
Last Update Date:2017-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1606175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty