Carpenter, Kereah
Carpenter, Kereah is an individual health care provider with primary practice located at 14355 Sw Allen Blvd Ste 100, Beaverton OR 97005-4700. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Carpenter, Kereah can be contacted via phone (503) 642-3423.Contact Information
Primary practice address
14355 Sw Allen Blvd Ste 100
Beaverton OR 97005-4700
Phone: (503) 642-3423
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 27 2818 | Oregon |
Profile Details
| NPI number | 1538380605 |
|---|---|
| LBN Legal business name | Carpenter, Kereah |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2007 |
| Last updated | Aug 14th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538380605 | NPPES |
| Oregon | MEDICAID | 116900 | |
| Oregon | Other | 27 2818 |
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