Carmine, Audra

Carmine, Audra is an sole proprietor health care provider with primary practice located at 5915 Se 67Th Ave , Portland OR 97206-5916. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Carmine, Audra can be contacted via phone (503) 984-0810.

Contact Information

Primary practice address
5915 Se 67Th Ave Portland OR 97206-5916
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X ASSOCIATE Oregon

Profile Details

NPI number 1336911429
LBN Legal business name Carmine, Audra
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2023
Last updated Oct 23rd, 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.

Request for update

Popular Providers