Individual
CARLY ANN MAYUMI CRIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
400 N SANTIAM HWY, LEBANON, OR 97355
(541) 451-6413
Mailing address
PO BOX 1193, CORVALLIS, OR 97339-1193
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
193425
OR
Other
Enumeration date
04/25/2015
Last updated
07/30/2024
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