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1124076013
CAROL ANN BURCKHARDT
PORTLAND, OR
NPI
1124076013
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR 083040504N6)
Enumeration Date
2006-05-04
Last Update Date
2007-07-08
Business Address
-- CAROL ANN BURCKHARDT PMHNP
727 W BURNSIDE
PORTLAND, OR 97209
Phone number: 503-228-4533
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Mailing Address
-- CAROL ANN BURCKHARDT PMHNP
244 GREENRIDGE DR.
LAKE OSWEGO, OR 97035
Phone number: 503-228-4533
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