IndividualActive
Carmen Requa
NPI 1104775014 · Case Manager/Care Coordinator · Enterprise, OR
Provider details
- NPI number
- 1104775014
- Entity type
- Individual
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
606 Medical Pkwy
Enterprise, OR 97828-5140
Phone: (541) 426-4524
Fax: (541) 426-3035
Approximate (ZIP-level) locationGet directions
Mailing address
606 Medical Pkwy
Enterprise, OR 97828-5140
Registry dates
- Enumerated
- 2026-01-23
- Last updated
- 2026-01-26
- Certified
- 2026-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.