Individual
CARRIE L MCGUIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP
Contact information
Practice address
1340 NW WALL ST, BEND, OR 97703-1985
(541) 322-7499
Mailing address
1340 NW WALL ST, BEND, OR 97703-1985
(541) 322-7499
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
201050151NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500651270
—
OR
Enumeration date
01/04/2011
Last updated
02/21/2018
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