Individual
MARY JOANNE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3355 CHAD DR, EUGENE, OR 97408-7428
(541) 607-0897
Mailing address
PO BOX 572, CRESWELL, OR 97426-0572
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201240456RN
OR
163W00000X
Registered Nurse
408509
CA
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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