Individual
ANGELA CARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2825 E BARNETT RD, MEDFORD, OR 97504-8332
(541) 789-4222
(541) 789-5932
Mailing address
2825 E BARNETT RD, MEDFORD, OR 97504-8332
(541) 789-4222
(541) 789-5932
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MED-PAC-LIC-69117
MT
363A00000X
Physician Assistant
Primary
PA178313
OR
363A00000X
Physician Assistant
PA58424
CA
Other
Enumeration date
07/05/2016
Last updated
11/16/2022
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