Individual
MRS. CARRIE PEMBERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2225 N ELDORADO AVE, KLAMATH FALLS, OR 97601-6417
(541) 273-6206
(541) 273-6207
Mailing address
12335 MALLORY DR, KLAMATH FALLS, OR 97603-8922
(541) 591-1200
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201500513LPN
OR
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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