MICHAEL ANTHONY CARRASQUILLA

CORVALLIS, OR
NPI1245724764
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0001X 
(Licence: OR  MD223368)
Additional Taxonomies207R00000X Internal Medicine
(Licence: IL  125.071902)
2085R0001X 
(Licence: DC  MD210012205)
Enumeration Date2018-06-18
Last Update Date2025-06-27
Business Address
MICHAEL ANTHONY CARRASQUILLA MD
501 NW ELKS DR
CORVALLIS, OR 97330-3757
Phone number: 541-768-5220
Mailing Address
MICHAEL ANTHONY CARRASQUILLA MD
PO BOX 1189
CORVALLIS, OR 97339-1189
Phone number: