Individual
MS. CARRIE D MUSICANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9155 SW BARNES RD, #240, PORTLAND, OR 97225-6625
(503) 297-1419
(503) 216-2488
Mailing address
8860 CENTER DR STE 450, LA MESA, CA 91942-7001
(619) 460-6200
(619) 460-6200
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA00821
CA
Other
Enumeration date
05/02/2006
Last updated
06/26/2009
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