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Individual

DR. CAROL A. CARVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
2380 NW KINGS BLVD, SUITE 102, CORVALLIS, OR 97330-3978
(541) 757-2066
(541) 757-9651
Mailing address
2380 NW KINGS BLVD, SUITE 102, CORVALLIS, OR 97330-3978
(541) 757-2066
(541) 757-9651

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
477
OR
103TC0700X
Clinical Psychologist
Primary
477
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
127329
OR
Enumeration date
05/12/2006
Last updated
12/07/2011
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