Jessica Ann Carlin, HAS

NPI #1457742942 in Lake Oswego, Oregon

Provider Information

NPI Number: 1457742942
Entity Type: Individual
Name: Jessica Ann Carlin, HAS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: HAS
Enumeration Date: Feb 5, 2015
Last Updated: Feb 5, 2015

Practice Location

Address: 15800 BOONES FERRY RD
Address 2: SUITE A-1
City: Lake Oswego
State: Oregon
ZIP Code: 97035-3470
Phone: (503) 636-1114

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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