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Carmen Michele Requa

Case Manager/Care Coordinator in Enterprise, OR. Individual provider (NPI-1).

NPI number1104775014
StatusActive
Last updated in NPPESJan 26, 2026

Details

NPI
1104775014
Entity type
Individual (NPI-1)
Name
Ms. Carmen Michele Requa
Sex
Female
Sole proprietor
No
Enumeration date
Jan 23, 2026
Certification date
Jan 26, 2026
Last updated
Jan 26, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

606 Medical Pkwy
Enterprise, OR 97828-5140

Phone 541-426-4524 · Fax 541-426-3035

Mailing address

606 Medical Pkwy
Enterprise, OR 97828-5140

Phone 541-426-4524 · Fax 541-426-3035

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