Individual
ARMAN CARRASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
U
Credential
PA-C
Contact information
Practice address
500 5TH ST, BROOKINGS, OR 97415-9702
(541) 412-2000
Mailing address
500 5TH ST, BROOKINGS, OR 97415-9702
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA222100
OR
Other
Enumeration date
07/11/2024
Last updated
09/15/2024
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