Individual
CYNTHIA D CARABALLO-HUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4855 SW WESTERN AVE, BEAVERTON, OR 97005-3460
(503) 643-7565
(503) 626-4418
Mailing address
500 NE MULTNOMAH ST, SUITE 100, PORTLAND, OR 97232-2023
(503) 813-3810
(877) 821-5101
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD23458
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228545
—
OR
01
—
P00235553
RR MEDICARE
OR
Enumeration date
06/30/2006
Last updated
09/07/2016
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