Active NPIIndividual provider

Gregory S Carroll, MD

General Practice in Tigard, Oregon

NPI Number1588688014
Practice location
10250 SW Greenburg RD, 4 Lincoln Center, Suite 125, Tigard, OR 97223-5470
Fax
971-327-6734
Last updated
January 21, 2011

Gregory S Carroll, MD is a General Practice based in Tigard, OR. Gregory S Carroll, MD holds the professional credentials of MD. The NPI number for Gregory S Carroll, MD is 1588688014 and holds license No. MD26081 (OR). The current practice location address is 10250 SW Greenburg RD, 4 Lincoln Center, Suite 125, Tigard, OR 97223-5470 and the office can be reached by phone at 503-719-6783 and by fax at 971-327-6734. The NPI was assigned on July 27, 2006 and the record was last updated in NPPES on January 21, 2011.

●Provider Profile Details

NPI Number
1588688014
Provider Name
Gregory S Carroll
Credential
MD
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
General Practice · 208D00000X
Sole Proprietor
No
Enumeration Date
July 27, 2006
Last Update Date
January 21, 2011
NPI Status
Active

◉Business Practice Location Address

Address
10250 SW Greenburg RD
4 Lincoln Center, Suite 125
Tigard, OR 97223-5470
City
Tigard
State
Oregon
ZIP
97223-5470
Country
US
Phone Number
503-719-6783
Fax Number
971-327-6734

Get directions →

✉Business Mailing Address

Address
10250 SW Greenburg RD
4 Lincoln Center, Suite 125
Tigard, OR 97223-5470
City
Tigard
State
OR
ZIP
97223-5470
Phone Number
503-719-6783
Fax Number
971-327-6734

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Emergency Medicine207P00000XNoMD26081OR
General Practice208D00000XYesMD26081OR

#Other Provider Identifiers

No legacy or other 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 Gregory S Carroll, MD?

The NPI number of Gregory S Carroll, MD is 1588688014. It was assigned on July 27, 2006 and is currently active in the NPPES registry.

What is the specialty of Gregory S Carroll, MD?

Gregory S Carroll, MD is registered under the primary taxonomy General Practice (code 208D00000X) and holds license No. MD26081 (OR).

Where does Gregory S Carroll, MD practice?

The practice location is 10250 SW Greenburg RD, 4 Lincoln Center, Suite 125, Tigard, OR 97223-5470. The office can be reached at 503-719-6783 (phone) or 971-327-6734 (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 1588688014 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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