Individual
CARISSA LEIGH HONEYCUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2200 NE PROFESSIONAL CT., BEND, OR 97701
(541) 389-6316
(541) 389-8760
Mailing address
1820 NW MONTEREY PINES, BEND, OR 97701
(541) 322-0019
(541) 322-0090
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
PA150369
OR
Other
Enumeration date
01/14/2010
Last updated
01/14/2010
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