Dr. Mary Elizabeth Caron
General Practice Physician Neuromusculoskeletal Medicine (NMM)
201 N Pacific Hwy
Talent
, Oregon 97540-9633
Dr. Mary Elizabeth Caron
General Practice Physician Neuromusculoskeletal Medicine (NMM)
201 N Pacific Hwy
Talent
, Oregon 97540-9633
(541) 622-3656
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Mary Elizabeth Caron
- 201 N Pacific Hwy
- Talent, OR
- Zip : 97540-9633
- Fax : (541) 622-3656
- Phone : (207) 294-1860
Second Address
- Dr. Mary Elizabeth Caron
- 201 N Pacific Hwy
- Talent, OR
- Zip : 97540-9633
- Fax : (541) 622-3656
- Phone : (207) 294-1860
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 232133 | NY |
| N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | DO169680 | OR |
| Y | 208D00000X | General Practice Physician | DO169680 | OR |
National Provider Identifier
| NPI | 1013013713 |
|---|---|
| Provider Name | Dr. Mary Elizabeth Caron |
| First Address | Talent, OR 97540-9633 |
| Second Address | Talent, OR 97540-9633 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/09/2006 |
| Last Update Date | 09/04/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| I19873 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.