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Individual

CLARISSA EVANELL CARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
1000 E MAIN ST, MEDFORD, OR 97504-7667
(541) 842-7705
(541) 842-7640
Mailing address
1000 E MAIN ST, MEDFORD, OR 97504-7667
(541) 773-3863
(541) 842-7640

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10004386
OR

Other

Enumeration date
02/10/2023
Last updated
04/13/2026
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