Consoli, Carolyn Lucille
Consoli, Carolyn Lucille is an individual health care provider with primary practice located at 530 Nw 27Th St , Corvallis OR 97330-5223. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Consoli, Carolyn Lucille can be contacted via phone (541) 766-6835.Contact Information
Primary practice address
530 Nw 27Th St
Corvallis OR 97330-5223
Phone: (541) 766-6835
Fax: (541) 766-6186
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | THW0001880 | Oregon |
Profile Details
| NPI number | 1063605095 |
|---|---|
| LBN Legal business name | Consoli, Carolyn Lucille |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2007 |
| Last updated | Mar 17th, 2018 - about 7 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 | 1063605095 | NPPES |
| Oregon | MEDICAID | 500732717 | |
| Oregon | MEDICAID | 500700084 |
Popular Providers
-
Tharp, Shawn Lee
4455 Ne Highway 20 , Corvallis OR 97330-9695 -
Buzzell, Mary Lynne
4455 Ne Highway 20 , Corvallis OR 97330-9695 -
Spurgeon, Stephen
530 Nw 27Th St , Corvallis OR 97330-5223 -
Quayle, Amy Lyn
530 Nw 27Th St , Corvallis OR 97330-5223 -
Malloy, Kevin James
456 Sw Monroe Ave , Corvallis OR 97333-4781 -
Yearian, Karley Marie
456 Sw Monroe Ave , Corvallis OR 97333-4781 -
Sheldon, Andrew J
530 Nw 27Th St , Corvallis OR 97330-5223 -
Ceaser, Nicholas
530 Nw 27Th St , Corvallis OR 97330-5223