Individual
CAROLE LEVANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1130 NW 22ND AVE, STE 520, PORTLAND, OR 97210-2976
(503) 274-4800
(503) 274-4917
Mailing address
1130 NW 22ND AVE, STE 520, PORTLAND, OR 97210-2976
(503) 274-4800
(503) 274-4917
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD14048
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170720
—
OR
Enumeration date
08/09/2006
Last updated
07/08/2007
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