Individual
EMILY CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1470 NW 4TH ST, REDMOND, OR 97756-1366
(541) 316-7521
Mailing address
PO BOX 1710, REDMOND, OR 97756-0516
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
202202593
OR
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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