Provider Demographics
NPI:1548487184
Name:ALLISON, CARRIE ELIZABETH (MD)
Entity type:Individual
Prefix:DR
First Name:CARRIE
Middle Name:ELIZABETH
Last Name:ALLISON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CARRIE
Other - Middle Name:ELIZABETH
Other - Last Name:HINK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:655 WINTER ST SE
Mailing Address - Street 2:PO BOX 14001
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-3919
Mailing Address - Country:US
Mailing Address - Phone:503-561-2448
Mailing Address - Fax:503-561-4759
Practice Address - Street 1:655 WINTER ST SE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-3919
Practice Address - Country:US
Practice Address - Phone:503-561-2448
Practice Address - Fax:503-561-4759
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2012-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD1543342086S0127X, 2086S0102X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care