IndividualActive
Kalab Carlile, NP
NPI 1336810241 · Gerontology Nurse Practitioner · Grants Pass, OR
Provider details
- NPI number
- 1336810241
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Male
- Sole proprietor
- No
- License
- 202109970NP-PP (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1716 Williams Hwy
Grants Pass, OR 97527-5661
Phone: (541) 474-6056
Fax: (541) 474-4527
Approximate (ZIP-level) locationGet directions
Mailing address
1701 Ne 7th St
Grants Pass, OR 97526-1319
Registry dates
- Enumerated
- 2021-09-22
- Last updated
- 2024-10-16
- Certified
- 2024-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.