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1215918974
CAROL D DODSON
PORTLAND, OR
NPI
1215918974
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR 200150067NP PMHNP PP)
Enumeration Date
2005-11-09
Last Update Date
2007-07-08
Business Address
-- CAROL D DODSON RN, MS, PMHNP
2133 NE BROADWAY
PORTLAND, OR 97232-1512
Phone number: 503-939-9855
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Mailing Address
-- CAROL D DODSON RN, MS, PMHNP
5723 SE 20TH AVE
PORTLAND, OR 97202-5223
Phone number: 503-939-9855
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