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Individual

DR. CARIE ALISE LEILANI ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP, DNP

Contact information

Practice address
701 GOLF VIEW DR, MEDFORD, OR 97504-9643
(541) 494-1111
(541) 494-1099
Mailing address
25761 LAWTON AVE, LOMA LINDA, CA 92354-3823
(530) 321-7971

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201608771NP-PP
OR
363LF0000X
Family Nurse Practitioner
95005662
CA

Other

Enumeration date
04/21/2017
Last updated
01/30/2019
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