Carrasco, Androuw

Carrasco, Androuw is an individual health care provider with primary practice located at 10690 Ne Cornell Rd Ste 220 , Hillsboro OR 97124-9224. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Carrasco, Androuw can be contacted via phone (503) 848-5861.

Contact Information

Primary practice address
10690 Ne Cornell Rd Ste 220 Hillsboro OR 97124-9224
Fax: (503) 848-5863
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 52101 Arizona
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD207391 Oregon

Profile Details

NPI number 1730594474
LBN Legal business name Carrasco, Androuw
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2014
Last updated Apr 13th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730594474 NPPES
Oregon MEDICAID 500802672

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