IndividualActive
Carol Wyatt, RN
NPI 1619043395 · Community Health Registered Nurse · Estacada, OR
Provider details
- NPI number
- 1619043395
- Entity type
- Individual
- Primary specialty
- Community Health Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 000032351RN (OR)
Specialties & taxonomies
Nursing Service Providers
Practice location
402 Se 3rd Ave
Estacada, OR 97023-8563
Phone: (503) 630-6787
Fax: (503) 630-6787
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 514
Estacada, OR 97023-0514
Registry dates
- Enumerated
- 2006-11-27
- Last updated
- 2010-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.