Individual
DR. LINDA R. CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
929 SW SIMPSON AVE, BEND, OR 97702-3118
(541) 389-7741
(154) 127-8837
Mailing address
929 SW SIMPSON AVE, BEND, OR 97702-3118
(541) 389-7741
(154) 127-8837
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
23342
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
226932
—
OR
Enumeration date
01/23/2006
Last updated
08/20/2012
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