Individual
CAROLYN PALMER LUETHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC, RN
Contact information
Practice address
500 MAIN ST, SUITE C2, SPRINGFIELD, OR 97477-5469
(458) 201-7952
Mailing address
500 MAIN ST, SUITE C2, SPRINGFIELD, OR 97477-5469
(458) 201-7952
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
092007306RN
OR
171100000X
Acupuncturist
Primary
AC175155
OR
Other
Enumeration date
11/16/2015
Last updated
08/16/2016
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