Individual
JOY CARVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3098
(503) 494-8311
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3098
(503) 494-8311
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
099000115RN
OR
363LN0000X
Neonatal Nurse Practitioner
Primary
201808579NP-PP
OR
Other
Enumeration date
07/20/2018
Last updated
11/02/2018
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