Individual
CARRICK BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2430 NW PROFESSIONAL DR, CORVALLIS, OR 97330-3991
(415) 452-0180
Mailing address
2430 NW PROFESSIONAL DR, CORVALLIS, OR 97330-3991
(541) 452-0180
(541) 427-4435
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD209898
OR
207ND0101X
MOHS-Micrographic Surgery Physician
MD209898
OR
Other
Enumeration date
06/24/2009
Last updated
09/17/2024
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