Carroll, Mary Fiona
Carroll, Mary Fiona is an individual health care provider with primary practice located at 1501 Ne Medical Center Dr , Bend OR 97701-6051. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is her primary health care specialty. Carroll, Mary Fiona can be contacted via phone (541) 382-2811.Contact Information
Primary practice address
1501 Ne Medical Center Dr
Bend OR 97701-6051
Phone: (541) 382-2811
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD25593 | Oregon |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | MD25593 | Oregon |
| Other Service Providers / Specialist | 174400000X | MD25593 | Oregon |
Profile Details
| NPI number | 1821004599 |
|---|---|
| LBN Legal business name | Carroll, Mary Fiona |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Jan 29th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821004599 | NPPES |
| Oregon | MEDICAID | 213276 | |
| Oregon | Other | 00381745 |
Popular Providers
-
Kolatkar, Nikheel Shrinivas
221 Longwood Ave , Boston MA 02115-5804 -
Burge, Mark
1501 Ne Medical Center Dr , Bend OR 97701-6099 -
Kasdorf, Gayle M
1715 Dousman St , Green Bay WI 54303-3211 -
Monchamp, Travis Louis
929 Sw Simpson Ave Suite 220, Bend OR 97702-3599 -
Dauphin, Pascal A.
107 Glen Oak Blvd Ste 201B , Hendersonville TN 37075-3000 -
Baeten, Pamela C
704 S Webster Ave Ste 500, Green Bay WI 54301-3528 -
Marifke, Jerald P
3551 Abbey Ct , Green Bay WI 54313-7471 -
Fruiterman, Mark Lester
1365 Washington Ave Ste 300, Albany NY 12206-1098