Provider Demographics
NPI:1801105200
Name:CALDE, KARIN (PHD)
Entity type:Individual
Prefix:
First Name:KARIN
Middle Name:
Last Name:CALDE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20055 SW PACIFIC HWY
Mailing Address - Street 2:SUITE 106
Mailing Address - City:SHERWOOD
Mailing Address - State:OR
Mailing Address - Zip Code:97140-9294
Mailing Address - Country:US
Mailing Address - Phone:503-625-1212
Mailing Address - Fax:503-625-3131
Practice Address - Street 1:20055 SW PACIFIC HWY
Practice Address - Street 2:SUITE 106
Practice Address - City:SHERWOOD
Practice Address - State:OR
Practice Address - Zip Code:97140-9294
Practice Address - Country:US
Practice Address - Phone:503-625-1212
Practice Address - Fax:503-625-3131
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-02
Last Update Date:2010-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program