# REBECCA CARROLL, MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063814135
- **Authorized official:** DR. REBECCA CARROLL M.D. (ANESTHESIOLOGIST)
- **Authorized official phone:** (541) 603-6333

## Contact information

- **Practice address:** 940 COUNTRY CLUB RD, EUGENE, OR 97401-2208
- **Practice address phone:** (541) 344-2600
- **Mailing address:** PO BOX 42060, EUGENE, OR 97404-0570
- **Mailing address phone:** (541) 603-6333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | MD153931 | OR | Yes |

## Other

- **Enumeration date:** 09/20/2014
- **Last updated:** 09/20/2014