Provider Demographics
NPI:1184042194
Name:MEYERS, CAROL ANN (MA)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:ANN
Last Name:MEYERS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:CAROL
Other - Middle Name:ANN
Other - Last Name:DURBIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:116 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:OREGON CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97045-2519
Mailing Address - Country:US
Mailing Address - Phone:971-263-7592
Mailing Address - Fax:
Practice Address - Street 1:116 CENTER ST
Practice Address - Street 2:
Practice Address - City:OREGON CITY
Practice Address - State:OR
Practice Address - Zip Code:97045-2519
Practice Address - Country:US
Practice Address - Phone:971-263-7592
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-07
Last Update Date:2014-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide