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Organization

CAROL NIGHTENGALE P C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAROL NIGHTENGALE PC (OWNER)
(503) 669-1095
Entity
Organization

Contact information

Practice address
28467 SE K W ANDERSON RD, GRESHAM, OR 97080-0016
(503) 669-1095
(503) 665-3299
Mailing address
PO BOX 1503, GRESHAM, OR 97030-1506
(503) 669-1095
(503) 665-3299

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
592
OR

Other

Enumeration date
10/18/2012
Last updated
07/02/2024
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