Individual
CARMA JB DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP-BC
Contact information
Practice address
382 S 58TH ST STE B, SPRINGFIELD, OR 97478-7623
(541) 747-4858
Mailing address
382 S 58TH ST STE B, SPRINGFIELD, OR 97478-7623
(541) 747-4858
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
089003081RN
OR
363LP2300X
Primary Care Nurse Practitioner
Primary
201901675NP-PP
OR
Other
Enumeration date
05/04/2010
Last updated
06/11/2025
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