Individual
CARLI GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, LAC
Contact information
Practice address
151 SW SHEVLIN HIXON DR STE 101, BEND, OR 97702-3232
(541) 797-3412
(541) 610-1557
Mailing address
1744 NE TAURUS CT, BEND, OR 97701-6472
(541) 797-9962
(541) 610-1557
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
200841742RN
OR
171100000X
Acupuncturist
Primary
AC169497
OR
Other
Enumeration date
10/20/2014
Last updated
06/17/2020
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