Individual
ALISHA MACHELL CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRM, PSS, CHW, QMHAR
Contact information
Practice address
401 FIR ST, BROOKINGS, OR 97415-9222
(541) 469-3314
(541) 469-3314
Mailing address
401 FIR ST, BROOKINGS, OR 97415-9222
(541) 469-3314
(541) 469-3314
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
105038
OR
Other
Enumeration date
03/28/2025
Last updated
03/28/2025
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