Individual
CARRIE LINNEMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
124 SW H ST, SUITE A, GRANTS PASS, OR 97526-2500
(541) 659-7390
Mailing address
1019 SW CENTRAL AVE, GRANTS PASS, OR 97526-2749
(541) 659-7390
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10753
OR
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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