Provider Demographics
NPI:1952492746
Name:CARVALHO, VICTORIA FRANCESS (MD)
Entity Type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:FRANCESS
Last Name:CARVALHO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2505 SW 75TH TER
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97225-3380
Mailing Address - Country:US
Mailing Address - Phone:503-297-6528
Mailing Address - Fax:503-654-5811
Practice Address - Street 1:8305 SE MONTEREY AVE
Practice Address - Street 2:#220
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97266-7725
Practice Address - Country:US
Practice Address - Phone:503-654-5799
Practice Address - Fax:504-654-5811
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD 11618208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR060686Medicaid
OR060686Medicaid
ORC 92120Medicare UPIN