Individual
CAROLYN A OCONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
336 CHARDONNAY AVE STE A, PROSSER, WA 99350-9515
(509) 786-1576
(509) 786-1574
Mailing address
723 MEMORIAL ST, PROSSER, WA 99350-1524
(509) 786-2222
(509) 786-6612
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00035321
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8214892
—
WA
Enumeration date
07/26/2006
Last updated
06/02/2021
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