Individual
PATRICIA ANN CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, LPC
Contact information
Practice address
17565 SW CHIPPEWA TRL, TUALATIN, OR 97062-8478
(503) 692-6123
Mailing address
17565 SW CHIPPEWA TRL, TUALATIN, OR 97062-8478
(503) 692-6123
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
—
OR
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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