Organization
CAOLI, LLC
Active
Other names
Beach Medical & Skin Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL OLIVER NP (PRESIDENT)
(541) 412-8700
Entity
Organization
Contact information
Practice address
413 MILL BEACH RD, BROOKINGS, OR 97415-9690
(541) 412-8700
(541) 412-8702
Mailing address
PO BOX 5389, BROOKINGS, OR 97415-0107
(541) 412-8700
(541) 412-8702
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200650010NP
OR
363LF0000X
Family Nurse Practitioner
9514
CA
Other
Enumeration date
09/03/2008
Last updated
11/14/2008
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