| NPI Details | |
|---|---|
| NPI | 1194915587 |
| Gender | Female |
| Enumeration Date | 07/31/2007 |
| Last Updated | 07/22/2013 |
| Entity Type | Individual |
| Active | Over 9 years ago |
| Practice Location | |
|---|---|
| 18650 NW CORNELL RD STE 314 HILLSBORO OR, 97124-9212, US |
|
| Phone | (503) 216-9760 |
| Fax | (503) 216-9765 |
| Business Location | |
|---|---|
| 18650 NW CORNELL RD STE 314 HILLSBORO OR, 97124-9212, US |
|
| Phone | (503) 216-9760 |
| Fax | (503) 216-9765 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 225100000X |
| License State | Oregon |
| License Number | 5007 |
| Remove 1194915587 NPI Number | |
According to our database, Carrie Lynn Sommars Maruska D.P.T. NPI is 1194915587, taxonomy code is 225100000X and license number is 5007, license state is located at Oregon. Carrie Lynn Sommars Maruska D.P.T. physically located at 18650 Nw Cornell Rd Ste 314, Hillsboro OR, 97124-9212. NPI Number Carrie Lynn Sommars Maruska D.P.T. has the Individual type.
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1194915587 NPI number is provided on an as is basis without warranty of any kind. 1194915587 is maintained by the National Plan & Provider Enumeration System. The contents of Carrie Lynn Sommars Maruska D.P.T. are for informational purposes only.
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