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NPI Code Detail

MEDICARE: CAROLE LEVANDA MD

MEDICARE:   CAROLE  LEVANDA  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology PhysicianMD14048OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730199720
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLE LEVANDA MD
Provider Business Mailing Address
First Line : 1130 NW 22ND AVE
Second Line : STE 520
City : PORTLAND
State : OR
Zip : 97210-2976
Country : US
Telephone Number : 503-274-4800
Fax Number : 503-274-4917
Provider Business Practice Location Address
First Line : 1130 NW 22ND AVE
Second Line : STE 520
City : PORTLAND
State : OR
Zip : 97210-2976
Country : US
Telephone Number : 503-274-4800
Fax Number : 503-274-4917
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2006
Last Update Date : 07/08/2007

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Directions to “ CAROLE LEVANDA MD” Practice Location

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