Organization
PACOT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA A CARROLL RN, LPC (PRESIDENT)
(503) 692-6123
Entity
Organization
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
035747
OR
Other
Enumeration date
08/11/2006
Last updated
08/22/2020
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