Individual provider · NPI-1

Carol Sue Hall

Technician/Technologist, Optician · Salem, OR

NPI number1679683114
StatusActive
Last updated in NPPESJul 14, 2007

Details

NPI
1679683114
Entity type
Individual (NPI-1)
Name
Carol Sue Hall
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 30, 2006
Last updated
Jul 14, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, OpticianDO00001498WAYes

Other names

  • Carol Sue Elliott (Former Name)

Practice location

5125 Skyline Rd S
Salem, OR 97306-9427

Phone 503-588-5995

Mailing address

5125 Skyline Rd S
Salem, OR 97306-9427

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