MS. Carmen Michele Requa
NPI #1104775014 in Enterprise, Oregon
Provider Information
- NPI Number
- 1104775014
- Entity Type
- Individual
- Name
- MS. Carmen Michele Requa
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Jan 23, 2026
- Last Updated
- Jan 26, 2026
Practice Location
- Address
- 606 MEDICAL PKWY
- City
- Enterprise
- State
- Oregon
- ZIP Code
- 97828-5140
- Phone
- (541) 426-4524
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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