Cousins, Carissa Sarah

Cousins, Carissa Sarah is an individual health care provider with primary practice located at 121 Se Viewmont Ave , Corvallis OR 97333-1968. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Cousins, Carissa Sarah can be contacted via phone (541) 766-3546.

Contact Information

Primary practice address
121 Se Viewmont Ave Corvallis OR 97333-1968
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 156114 Oregon
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME78852 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 096165 Ohio
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD156114 Oregon

Profile Details

NPI number 1578521829
LBN Legal business name Cousins, Carissa Sarah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Feb 17th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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