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Kent Carpenter

NPI 1124538160 · on the registry since 2017

Practice

Address
15208 Se Tibbetts St
Portland, OR 97236
Phone
(503) 760-0959
Fax
(503) 761-0041
Organisation at this address
Columbiacare Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
14

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-10-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon