Individual
MS. GARNIE JO CARTER-POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1315 NW 4TH ST, REDMOND, OR 97756
(541) 548-9159
Mailing address
7995 NW GRUBSTAKE WAY, REDMOND, OR 97756-8964
(541) 749-0349
(541) 504-2424
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA 00691
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871540625
NPI
OR
05
—
500608031
—
OR
01
—
PA00691
OMB
OR
Enumeration date
05/27/2006
Last updated
07/10/2018
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