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Individual

MICHAELA MARIE CARLSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
2821 DAGGETT AVE STE 100, KLAMATH FALLS, OR 97601-1130
(541) 274-6733
(541) 274-2006
Mailing address
1140 OREGON ASH CIR, KLAMATH FALLS, OR 97601-8708

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202211974NP-PP
OR

Other

Enumeration date
08/11/2022
Last updated
01/11/2023
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