Individual
CAROLYN LARROWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
100 MULLINS DR, SUIT1 A-1, LEBANON, OR 97355-3982
(541) 451-6920
(541) 451-6924
Mailing address
PO BOX 579, CORVALLIS, OR 97339-0579
(541) 766-6835
(541) 766-6186
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
079044097RN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079044097RN
OR RN
OR
Enumeration date
01/14/2008
Last updated
05/27/2011
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