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Carol Tewalt
NPI 1528467131 · on the registry since 2014 · sole proprietor
Practice
- Address
- 16410 Highway 126
Sisters, OR 97759 - Phone
- (971) 302-5479
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-08-19
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