IndividualActive
Brendan Carroll, MD
NPI 1669472775 · Obstetrics & Gynecology Physician · Portland, OR
Provider details
- NPI number
- 1669472775
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD21047 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4805 Ne Glisan St
Unit 3k
Portland, OR 97213-2933
Phone: (503) 215-6150
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3158
Portland, OR 97208-3158
Registry dates
- Enumerated
- 2005-07-29
- Last updated
- 2021-02-18
- Certified
- 2021-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.