Individual provider · Type 1 NPI

Rosa Jaime Carbonell, MD

Student in an Organized Health Care Education/Training Program · Portland, OR

NPI number 1689178766 Active

Practice location

3181 SW Sam Jackson Park Rd # L-579
Portland, OR 97239-3098

Call (503) 494-8211 Map

Other practice locations

  • 2222 NW Lovejoy St Ste 304, Portland, OR 97210-5100 · (503) 413-5787

Specialties and licenses

TaxonomyCodeLicense
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040XMD211258 (OR)
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040XMD70000455 (WA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1689178766

Rosa Jaime Carbonell, MD's National Provider Identifier is 1689178766, issued on Mar 22, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, OR. The record was last updated on Nov 7, 2025.