Provider Demographics
NPI:1093023335
Name:HIGHT, CAROLYN KRISTINE (RN)
Entity Type:Individual
Prefix:
First Name:CAROLYN
Middle Name:KRISTINE
Last Name:HIGHT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:CAROLYN
Other - Middle Name:KRISTINE
Other - Last Name:MAXWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:21070 BAYOU DR
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702-2468
Mailing Address - Country:US
Mailing Address - Phone:541-647-9344
Mailing Address - Fax:
Practice Address - Street 1:21070 BAYOU DR
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-2468
Practice Address - Country:US
Practice Address - Phone:541-647-9344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-21
Last Update Date:2010-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR093003387RN163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse