Individual
KAARINA VIALLE CHARLOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1700 GEARY ST SE STE 400, ALBANY, OR 97322-6842
(541) 812-5500
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1213370
OR
363A00000X
Physician Assistant
Primary
PA222785
OR
Other
Enumeration date
09/26/2024
Last updated
01/23/2025
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