Carolyn Lucille Consoli

NPI #1063605095 in Corvallis, Oregon

Provider Information

NPI Number: 1063605095
Entity Type: Individual
Name: Carolyn Lucille Consoli
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Aug 22, 2007
Last Updated: Mar 17, 2018

Practice Location

Address: 530 NW 27TH ST
City: Corvallis
State: Oregon
ZIP Code: 97330-5223
Phone: (541) 766-6835

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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