Individual
MS. CAROLYN KAY PITTENGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
690 BARNES BLVD, 62ND MDG, MCCHORD AFB, WA 98438-1303
(253) 982-9917
(253) 982-8406
Mailing address
12601 SE REGENCY VIEW ST, CLACKAMAS, OR 97015-7359
(503) 698-6262
(503) 698-7412
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
23210
OR
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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