Individual
KARYSSA ANN ENDECOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
435 NE EVANS ST STE A, MCMINNVILLE, OR 97128-4635
(541) 201-3973
Mailing address
1145 SW CYPRESS ST, MCMINNVILLE, OR 97128-8677
(815) 975-0672
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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