Individual
CARRIE PINKHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8495 CRATER LAKE HWY, WHITE CITY, OR 97503-3011
(541) 826-2111
(541) 830-7470
Mailing address
8495 CRATER LAKE HWY, WHITE CITY, OR 97503-3011
(541) 826-2111
(541) 830-7470
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
201500822NP-PP
OR
363LG0600X
Gerontology Nurse Practitioner
201500822NP-PP
OR
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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