Individual
DR. CAROLYN I HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5900 INLAND SHORES WAY N STE 202, KEIZER, OR 97303-3884
(503) 463-6799
Mailing address
5900 INLAND SHORES WAY N STE 202, KEIZER, OR 97303-3884
(503) 463-6799
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD10836
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02557
—
OR
Enumeration date
01/18/2007
Last updated
07/08/2007
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