Active NPIIndividual provider

Kori L Carbonaro, RN, BSN

Registered Nurse, School in Beaverton, Oregon

NPI Number1245164029
Practice location
1260 NW Waterhouse Ave, Beaverton, OR 97006-5747
Fax
503-356-2425
Last updated
June 9, 2026

Kori Lynne Carbonaro is a Registered Nurse, School based in Beaverton, OR. Kori Lynne Carbonaro practices in Beaverton, OR and has the professional credentials of RN, BSN. The NPI Number for Kori Lynne Carbonaro is 1245164029 and holds a License No. 201390954RN (OR). The current practice location address for Kori Lynne Carbonaro is 1260 NW Waterhouse Ave, Beaverton, OR 97006-5747 and can be reached out via phone at 503-356-2420 and via fax at 503-356-2425.

Provider Profile Details

NPI Number
1245164029
Provider Name
Kori Lynne Carbonaro
Credential
RN, BSN
Provider Entity Type
Individual
Gender
Female
Address
1260 NW Waterhouse Ave, Beaverton, OR 97006-5747
Phone Number
503-356-2420
Fax Number
503-356-2425
Primary Taxonomy
Registered Nurse, School · 163WS0200X
Sole Proprietor
No
Provider Enumeration Date
June 9, 2026
Last Update Date
June 9, 2026
Certification Date
June 9, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1260 NW Waterhouse Ave
Beaverton, OR 97006-5747
State
Oregon
Zip
97006-5747
Phone Number
503-356-2420
Fax Number
503-356-2425
Beaverton, OR 97006Get directions →

Provider Business Mailing Address Details

Address
1260 NW Waterhouse Ave
Beaverton, OR 97006-5747
City
Beaverton
State
OR
Zip
97006-5747
Phone Number
503-356-2420
Fax Number
503-356-2425

License Information

License Number
201390954RN
License State
OR
Taxonomy
Registered Nurse, School · 163WS0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kori L Carbonaro, RN, BSN?

The NPI number of Kori L Carbonaro, RN, BSN is 1245164029. It was assigned on June 9, 2026 and is currently active in the NPPES registry.

What is the specialty of Kori L Carbonaro, RN, BSN?

Kori L Carbonaro, RN, BSN is registered under the primary taxonomy Registered Nurse, School (code 163WS0200X), licensed in OR under license number 201390954RN.

Where does Kori L Carbonaro, RN, BSN practice?

The practice location is 1260 NW Waterhouse Ave, Beaverton, OR 97006-5747. The office can be reached at 503-356-2420 (phone) or 503-356-2425 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245164029 directly on the NPPES registry website.

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