Individual
DR. CAROL YOSHIE ENDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2800 N VANCOUVER AVE, SUITE 165, PORTLAND, OR 97227-1630
(503) 413-5160
Mailing address
2800 N VANCOUVER AVE, SUITE 165, PORTLAND, OR 97227-1630
(503) 413-5160
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
31692
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31692
STATE LICENSE
WA
05
—
319000074
—
WA
01
—
MD27401
LICENSE
OR
Enumeration date
07/17/2006
Last updated
03/07/2023
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