Individual
CAROLINA R LAURIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 NE RUMGAY LN, BEND, OR 97701-7287
(541) 383-3515
Mailing address
1600 NE RUMGAY LN, BEND, OR 97701-7287
(541) 383-3515
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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