Individual
MS. CAROL L OPHEIKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
401 SW BELAIR DR, CLATSKANIE, OR 97016-7415
(503) 728-5088
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
099000402RN
OR
363L00000X
Nurse Practitioner
099000402RN
OR
363L00000X
Nurse Practitioner
301394062NP
OR
363LF0000X
Family Nurse Practitioner
Primary
201394062NP-PP
OR
Other
Enumeration date
12/27/2013
Last updated
04/25/2023
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