Individual
KALAB CARLILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1716 WILLIAMS HWY, GRANTS PASS, OR 97527-5661
(541) 474-6056
(541) 474-4527
Mailing address
1701 NE 7TH ST, GRANTS PASS, OR 97526-1319
(541) 471-4106
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
202109970NP-PP
OR
Other
Enumeration date
09/22/2021
Last updated
10/16/2024
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