Individual
DR. TONY JOHN CARNEVALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9764
(503) 652-2880
Mailing address
500 NE MULTNOMAH ST, PORTLAND, OR 97232-2023
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
DR.0067330
CO
207P00000X
Emergency Medicine Physician
Primary
MD18390
OR
Other
Enumeration date
10/03/2006
Last updated
05/04/2022
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