Individual
CARMEN LEIGH VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
551 LONE PINE BLVD, THE DALLES, OR 97058-9403
(541) 506-6920
Mailing address
4295 SE MASON HILL DR, MILWAUKIE, OR 97222-5097
(208) 412-8326
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
201706123NP-PP
OR
363LF0000X
Family Nurse Practitioner
Primary
201706123NP-PP
OR
Other
Enumeration date
08/03/2017
Last updated
05/11/2018
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