Individual
MRS. CARLA P MOREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1332 S SHASTA AVE, SUITE A, EAGLE POINT, OR 97524-8623
(541) 826-8160
(541) 826-8197
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00439
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500604732
—
OR
Enumeration date
10/18/2006
Last updated
09/19/2012
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