Carroll, Brendan Cargill
Carroll, Brendan Cargill is an individual health care provider with primary practice located at 4805 Ne Glisan St Unit 3K, Portland OR 97213-2933. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Carroll, Brendan Cargill can be contacted via phone (503) 215-6150.Contact Information
Primary practice address
4805 Ne Glisan St Unit 3K
Portland OR 97213-2933
Phone: (503) 215-6150
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD21047 | Oregon |
Profile Details
| NPI number | 1669472775 |
|---|---|
| LBN Legal business name | Carroll, Brendan Cargill |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2005 |
| Last updated | Feb 18th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669472775 | NPPES |
| Oregon | MEDICAID | 130056 |
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