Individual
GREGORY CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, BSN
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7641
(503) 494-4661
Mailing address
1400 SW 5TH AVE STE 500, PORTLAND, OR 97201-5537
(503) 346-8021
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
202202369RN
OR
367500000X
Certified Registered Nurse Anesthetist
Primary
10050911
OR
Other
Enumeration date
09/26/2022
Last updated
11/24/2025
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