Individual
MS. MARY ELLEN CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, FNP
Contact information
Practice address
1902 JEFFERSON ST, SUITE 2, EUGENE, OR 97405-2414
(541) 284-8882
(541) 284-2826
Mailing address
PO BOX 70368, SUITE 2, SPRINGFIELD, OR 97475-0120
(541) 349-7600
(541) 686-8330
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
000030956N1
OR
Other
Enumeration date
05/21/2007
Last updated
03/28/2017
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