Search › Oregon › 174H00000X
Carolyn Clontz
NPI 1295307486 · on the registry since 2021
Practice
- Address
- 1128 Nw Harriman Street
Bend, OR 97703 - Phone
- (541) 322-7500
- Fax
- (541) 322-7565
- Organisation at this address
- Genoa Healthcare Llc
Mosaic Community HealthInferred from a shared address, not stated in the registry. - Clinicians at this address
- 94
Additional practice sites
- 2577 Ne Courtney Drive, Bend, OR
Registry record
- Primary taxonomy
- 174H00000X
174H00000X
- Also registered as
- 172V00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-07-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon