Carol Nightengale P C
Carol Nightengale P C is a Preferred Provider Organization in Gresham, Oregon. Licensed in Oregon. Registered with an NPI since 2012.
- Licensed in
- OR
- In the registry since
- 2012
Practice location Address checks out
28467 SE K W Anderson RdGresham, OR 97080-0016
Phone: (503) 669-1095
Fax: (503) 665-3299
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X · Licence 592 (OR) |
|---|
Record details
| NPI number | 1447503107 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Carol Nightengale — Owner · (503) 669-1095 |
| NPI enumerated | October 18, 2012 |
| Last updated in NPPES | July 2, 2024 |
| Certification date | July 2, 2024 |
| Mailing address | Po Box 1503, Gresham, OR 97030-1506 |