Mason, Carol B.

Mason, Carol B. is an individual health care provider with primary practice located at 722 Ne 162Nd Avenue , Portland OR 97230. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, which is considered as her primary health care specialty. Mason, Carol B. can be contacted via phone (503) 408-5016.

Contact Information

Primary practice address
722 Ne 162Nd Avenue Portland OR 97230
Fax: (503) 255-5094
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent 163WP0807X 00002463RN Oregon

Profile Details

NPI number 1770705527
LBN Legal business name Mason, Carol B.
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770705527 NPPES
Oregon Other 00002463RN RN LICENSE #

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