Individual
MR. LOUIS ALLEN CAROSIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
474 WILLAMETTE ST STE 302, EUGENE, OR 97401-2661
(541) 687-2835
Mailing address
474 WILLAMETTE ST STE 302, EUGENE, OR 97401-2661
(541) 687-2835
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5032
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J2515-01
PACIFICSOURCE
OR
Enumeration date
03/27/2007
Last updated
07/08/2007
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