Organization
CLINNEXUS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY CARROLL MD (PRESIDENT AND CEO)
(503) 807-1123
Entity
Organization
Contact information
Practice address
610 S MAIN ST PH 107, LOS ANGELES, CA 90014-2040
(503) 807-1123
Mailing address
P.O. BOX 840, KITTERY POINT, ME 03905
(503) 807-1123
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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