Individual provider · Type 1 NPI

Carolyn Jean Laviolette, P.A.-C.

Medical Physician Assistant · Beaverton, OR

NPI number 1891805511 Active

Practice location

4855 SW Western Ave
Beaverton, OR 97005-3460

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA00337 (OR)
Medical Physician Assistant 363AM0700XPA10003290 (WA)

Medical Physician Assistant: Definition to come...

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About NPI 1891805511

Carolyn Jean Laviolette, P.A.-C.'s National Provider Identifier is 1891805511, issued on Aug 30, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Beaverton, OR. The record was last updated on Jul 8, 2007.