Individual
MS. CAROLYN LITAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
25647 REDWOOD HWY, CAVE JUNCTION, OR 97531-9724
(541) 592-4111
(541) 592-3916
Mailing address
1701 NW HAWTHORNE AVE, GRANTS PASS, OR 97526-1051
(541) 593-4111
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00614
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
237479
—
OR
Enumeration date
08/19/2005
Last updated
10/21/2019
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