CARSON HOLTON

PORTLAND, OR
NPI1992113872
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2014-07-23
Last Update Date2014-07-23
Business Address
-- CARSON HOLTON
3924 N WILLIAMS AVE
PORTLAND, OR 97227-1445
Phone number: 813-335-9374
Mailing Address
-- CARSON HOLTON
3924 N WILLIAMS AVE
PORTLAND, OR 97227-1445
Phone number: 813-335-9374
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