NPI 1528423522
Jaclyn Carricato
Practice location
- Address
- 2000 Connecticut Ave, North Bend, OR 97459-2300
- Phone
- (631) 291-2498
Registered specialties
Military Health Care Provider
Primary
Registry record
- NPI
- 1528423522
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 18 Dec 2015
- Record last updated
- 18 Dec 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.