Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | DO164441 | OR |
NPI | 1245586767 |
---|---|
Provider Name | Dr. Kara Christine Mintier |
First Address | Corvallis, OR 97339-1193 |
Second Address | Lebanon, OR 97355-2875 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2012 |
Last Update Date | 04/11/2020 |