Individual
NANCY MARIE CARLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14090 SW TEAL BLVD, A17, BEAVERTON, OR 97008-9210
(503) 888-1666
Mailing address
14090 SW TEAL BLVD, A17, BEAVERTON, OR 97008-9210
(503) 888-1666
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200140045RN
OR
Other
Enumeration date
05/28/2015
Last updated
05/28/2015
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