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Individual

CAROLYN N RHETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1015 NW 22ND AVE, PORTLAND, OR 97210-3025
(503) 413-7260
Mailing address
6312 SW CAPITOL HWY # 502, PORTLAND, OR 97239-1938
(503) 464-9034

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD23580
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
286623
OR
Enumeration date
07/22/2006
Last updated
11/18/2009
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