Individual
REBECCA MARIE CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1160 LIBERTY ST SE, SALEM, OR 97302-4143
(503) 391-9762
(503) 315-2019
Mailing address
1160 LIBERTY ST SE, SALEM, OR 97302-4143
(503) 391-9762
(503) 315-2019
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201700624LPN
OR
Other
Enumeration date
06/14/2018
Last updated
06/14/2018
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