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Search › Oregon › 1041C0700X

Carla Canseco-Maca

NPI 1770255929 · on the registry since 2021

Practice

Address
209 Sw 4th Ave Ste 520
Portland, OR 97204
Phone
(971) 806-7062
Fax
(503) 988-4386
Organisation at this address
Multnomah County
Multnomah County
Multnomah County
Multnomah County
Multnomah County
Inferred from a shared address, not stated in the registry.
Clinicians at this address
71

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
101Y00000X
390200000X
Sex
Female
Record last updated
2024-12-10

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