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JACLYN CARRICATO
NPI 1528423522
Military Health Care Provider in North Bend, OR

Active since December 18, 2015
2000 CONNECTICUT AVE, NORTH BEND, OR 97459(631) 291-2498 Get Directions Write a Review

NPPES record last updated: December 18, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jaclyn Carricato NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACLYN CARRICATO (NPI 1528423522) is an individual military health care provider provider in North Bend, Oregon and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1528423522
Entity TypeIndividualFemale
Primary Taxonomy171000000X
Provider Legal NameJACLYN CARRICATO
Location Address2000 CONNECTICUT AVENorth Bend, OR 97459-2300
Mailing Address2000 Connecticut AveNorth Bend, OR 97459-2300 · (631) 291-2498
Phone(631) 291-2498
Sole ProprietorNo
Enumeration DateDecember 18, 2015
✔ NPI 1528423522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

2000 CONNECTICUT AVE, North Bend, OR 97459
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Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. SCOTT PAUL HEVERLY HS
Technician, Other
2000 CONNECTICUT AVE
NORTH BEND, OR 97459
Coos County (541) 756-9236
MS. BARBARA ANN HOFF
Technician, Other
2000 CONNECTICUT AVE
NORTH BEND, OR 97459
Coos County (541) 756-9236
MR. MATTHEW DAGAN REINES HS
Technician, Other
2000 CONNECTICUT AVE
NORTH BEND, OR 97459
Coos County (541) 756-9235
GABRIEL E VIGIL
Technician, Other
2000 CONNECTICUT AVE
NORTH BEND, OR 97459
Coos County (541) 756-9234
MRS. ELIZABETH MAUREEN STEVENS I
Technician, Other
2000 CONNECTICUT AVE
NORTH BEND, OR 97459
Coos County (541) 756-9234
MARY ANN GALLINO RN
Registered Nurse
2000 CONNECTICUT AVE
NORTH BEND, OR 97459
Coos County (541) 756-9316
BRANDON COLEMAN
Technician, Other
2000 CONNECTICUT AVE
NORTH BEND, OR 97459
Coos County (541) 756-9296
CARLA RAE POLTYCIA
Dental Hygienist
2000 CONNECTICUT AVE
NORTH BEND, OR 97459
Coos County (541) 756-9238

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaclyn Carricato's NPI number?

The NPI number for Jaclyn Carricato is 1528423522. It was assigned to this individual provider in the NPPES registry on December 18, 2015.

Where is Jaclyn Carricato located?

Jaclyn Carricato practices at 2000 Connecticut Ave, North Bend, OR 97459. The listed phone number is (631) 291-2498.

What is Jaclyn Carricato's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

When was this NPI record last updated?

The NPPES record for Jaclyn Carricato was last updated on December 18, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.