Individual
SAMANTHA BEA CARLILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
1716 WILLIAMS HWY, GRANTS PASS, OR 97527-5661
(541) 474-6053
Mailing address
1701 NE 7TH ST, GRANTS PASS, OR 97526-1319
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
202010882NP-PP
OR
Other
Enumeration date
12/03/2020
Last updated
08/03/2023
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