Individual
MS. CARMEN MICHELE REQUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
606 MEDICAL PKWY, ENTERPRISE, OR 97828-5140
(541) 426-4524
(541) 426-3035
Mailing address
606 MEDICAL PKWY, ENTERPRISE, OR 97828-5140
(541) 426-4524
(541) 426-3035
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/23/2026
Last updated
01/26/2026
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