Individual
CAROL PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC RN
Contact information
Practice address
20565 DYLAN LOOP, BEND, OR 97702-2890
(541) 480-0667
(541) 617-4543
Mailing address
PO BOX 142, BEND, OR 97709-0142
(541) 480-0667
(541) 617-4543
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C3086
OR
163WG0000X
General Practice Registered Nurse
0021346RN
OR
Other
Enumeration date
01/17/2015
Last updated
01/17/2015
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