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Contact Information

DWIGHT CARPEN, FNP
390 SE 10TH ST
MADRAS, OR97741-1573
 Phone: 541-383-3005
 Fax: 541-383-1883
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for DWIGHT CARPEN · (Male)

NPI Number 1982783460
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 11/03/2006
Last updated 10/24/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • OR License # 201602863NP
  • OR Medicaid 500638726
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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