Individual
DR. KEVIN H. CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2800 N VANCOUVER AVE STE 230, OHSU, PORTLAND, OR 97227-1668
(503) 413-4340
Mailing address
2800 N VANCOUVER AVE STE 230, OHSU, PORTLAND, OR 97227-1668
(503) 413-4340
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
173773
OR
Other
Enumeration date
06/26/2013
Last updated
07/08/2015
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