Healthcare Provider Details

I. General information

NPI: 1801105200
Provider Name (Legal Business Name): KARIN CALDE PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2010
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9290 SW JAMIESON CT
BEAVERTON OR
97005-3512
US

IV. Provider business mailing address

PO BOX 25744 SUITE 106
PORTLAND OR
97298-0744
US

V. Phone/Fax

Practice location:
  • Phone: 971-202-0039
  • Fax:
Mailing address:
  • Phone: 971-202-0039
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: