Provider Demographics
NPI:1407091341
Name:ORSINI, CAROLINE MARIE JOSETTE (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:MARIE JOSETTE
Last Name:ORSINI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:421 SW OAK ST
Mailing Address - Street 2:#210
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97204-1817
Mailing Address - Country:US
Mailing Address - Phone:503-988-3663
Mailing Address - Fax:503-988-4098
Practice Address - Street 1:421 SW OAK ST
Practice Address - Street 2:#210
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97204-1817
Practice Address - Country:US
Practice Address - Phone:503-988-3663
Practice Address - Fax:503-988-4098
Is Sole Proprietor?:No
Enumeration Date:2008-12-05
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0068011207Q00000X
OR17902207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine