Individual
CAROLYN MINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2222 NW LOVEJOY ST STE 315, PORTLAND, OR 97210-5101
(503) 413-8018
(503) 413-8011
Mailing address
1650 NW NAITO PKWY STE 185, PORTLAND, OR 97209-2535
(971) 983-5260
(971) 983-5326
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD186390
OR
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD186390
OR
Other
Enumeration date
04/18/2014
Last updated
06/18/2021
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