person
Dwight Carpen, FNP
Pediatric Nurse Practitioner in Madras, Oregon
NPI 1982783460

Dwight Carpen is a Pediatric Nurse Practitioner based in Portland, OR and is specialized in Pediatrics. Dwight Carpen practices in Madras, OR and has the professional credentials of FNP. The NPI Number for Dwight Carpen is 1982783460 and holds a License No. 201602863NP (Oregon).

The current practice location address for Dwight Carpen is 390 Se 10Th St, Madras, OR and can be reached out via phone at 541-383-3005 and via fax at 541-383-1883.

Location: 390 Se 10Th St, Madras, OR, 97208-4228
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Provider Profile Details
NPI Number
1982783460
Provider Name
Dwight Carpen
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
390 Se 10Th St, Madras, OR, 97208-4228
Phone Number
541-383-3005
Fax Number
541-383-1883
Provider Enumeration Date
11/03/2006
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500638726 05 OR
institution
Provider Business Practice Location Address Details
Address
390 Se 10Th St
City
State
Zip
97741-1573
Phone Number
541-383-3005
Fax Number
541-383-1883
person
Provider Business Mailing Address Details
Address
390 Se 10Th St
City
State
Zip
97741-1573
Phone Number
541-383-3005
Fax Number
541-383-1883
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
201602863NP (Oregon)
Definition
Definition to come...
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