Doctor Name: | STACI LYNN CARSTEN |
NPI Number: | 1093989436 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | 13403 |
Business Practice Address: | 1289 Ne 2nd St Suite 3 Bend, OR - 977014372 |
Business Phone Number: | 5413174826 |
Business Fax Number: | |
Mailing Address: | 2849 Ne Lotno Dr, BEND |
State: | OR |
Postal Code: | 977015844 |
Phone Number: | 5417498348 |
Fax Number: | |
NPI Enumeration Date: | 04/16/2008 |
NPI Last Update Date: | 02/08/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 13403 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |