Individual
DR. MARY ELIZABETH CARON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
201 N PACIFIC HWY, TALENT, OR 97540-9633
(207) 294-1860
(541) 622-3656
Mailing address
201 N PACIFIC HWY, TALENT, OR 97540-9633
(207) 294-1860
(541) 622-3656
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
232133
NY
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
DO169680
OR
208D00000X
General Practice Physician
Primary
DO169680
OR
208VP0000X
Pain Medicine Physician
DO169680
NY
Other
Enumeration date
09/16/2006
Last updated
04/09/2020
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