person
Jaclyn Carricato
Military Health Care Provider in North Bend, Oregon
NPI 1528423522

Jaclyn Carricato is a Military Health Care Provider based in North Bend, OR. Jaclyn Carricato practices in North Bend, OR. The NPI Number for Jaclyn Carricato is 1528423522 and holds a License No. (Oregon).

The current practice location address for Jaclyn Carricato is 2000 Connecticut Ave, North Bend, OR and can be reached out via phone at 631-291-2498.

Location: 2000 Connecticut Ave, North Bend, OR, 97459-2300
person
Provider Profile Details
NPI Number
1528423522
Provider Name
Jaclyn Carricato
Credential
Provider Entity Type
Individual
Gender
Female
Address
2000 Connecticut Ave, North Bend, OR, 97459-2300
Phone Number
631-291-2498
Fax Number
Provider Enumeration Date
12/18/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2000 Connecticut Ave
City
State
Zip
97459-2300
Phone Number
631-291-2498
Fax Number
person
Provider Business Mailing Address Details
Address
2000 Connecticut Ave
City
State
Zip
97459-2300
Phone Number
631-291-2498
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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