Provider Demographics
NPI:1699094276
Name:IONESCU, CARMEN MARIA (ND)
Entity type:Individual
Prefix:DR
First Name:CARMEN
Middle Name:MARIA
Last Name:IONESCU
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3944 N MISSISSIPPI AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97227-1163
Mailing Address - Country:US
Mailing Address - Phone:541-517-8222
Mailing Address - Fax:503-517-8223
Practice Address - Street 1:3944 N MISSISSIPPI AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97227
Practice Address - Country:US
Practice Address - Phone:503-517-8222
Practice Address - Fax:503-517-8223
Is Sole Proprietor?:No
Enumeration Date:2010-05-22
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR4065175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR175F00000XOtherNON-MEDICARE
OR175F00000XOtherNON-MEDICARE