Organization
CAROLYN D CONCIA NP PROF CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN D CONCIA GNP (OWNER)
(971) 294-0560
Entity
Organization
Contact information
Practice address
2308 NW STIMPSON LN, PORTLAND, OR 97229-8562
(971) 294-0560
Mailing address
2308 NW STIMPSON LN, PORTLAND, OR 97229-8562
(971) 294-0560
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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