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Individual

CARA MARIE CADDELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
254 NE NORTON LN, MCMINNVILLE, OR 97128-8470
(503) 472-6161
(503) 434-6290
Mailing address
254 NE NORTON LN, MCMINNVILLE, OR 97128-8470
(503) 472-6161
(503) 434-6290

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD26557
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
213126
OR
Enumeration date
05/08/2006
Last updated
11/07/2007
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