Laviolette, Carolyn Jean

Laviolette, Carolyn Jean is an individual health care provider with primary practice located at 4855 Sw Western Ave , Beaverton OR 97005-3460. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Laviolette, Carolyn Jean can be contacted via phone (503) 643-7565.

Contact Information

Primary practice address

4855 Sw Western Ave Beaverton OR 97005-3460

Phone: (503) 643-7565

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Physician Assistants & Advanced Practice Nursing Providers / Medical	363AM0700X	PA00337	Oregon
Physician Assistants & Advanced Practice Nursing Providers / Medical	363AM0700X	PA10003290	Washington

Profile Details

NPI number	1891805511
LBN Legal business name	Laviolette, Carolyn Jean
Credentials	Physician's Assistant Certified (PA-C)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Aug 30th, 2006
Last updated	Jul 8th, 2007 - about 19 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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