Rosa Jaime Carbonell, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Portland, Oregon. She graduated from medical school in 2018 and has 8 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Legacy Salmon Creek Hospital, Legacy Clinics Llc and her current practice location is
3181 Sw Sam Jackson Park Rd # L-579, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 494-8211.
Rosa Jaime Carbonell is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1689178766.
Physician's Profile
| Full Name | Rosa Jaime Carbonell |
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| Gender | Female |
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| Speciality | Obstetrics/gynecology |
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| Experience | 8 Years |
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| Location | 3181 Sw Sam Jackson Park Rd # L-579, Portland, Oregon |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Rosa Jaime Carbonell graduated from medical school in 2018
NPI Data:
- NPI Number: 1689178766
- Provider Enumeration Date: 03/22/2018
- Last Update Date: 11/07/2025
Medicare PECOS Information:
- PECOS PAC ID: 0244581312
- Enrollment ID: I20251120003262
Medical Identifiers
Medical identifiers for Rosa Jaime Carbonell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689178766 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207VF0040X | Obstetrics & Gynecology - Female Pelvic Medicine And Reconstructive Surgery | MD211258 (Oregon) | Secondary |
| 207VF0040X | Obstetrics & Gynecology - Female Pelvic Medicine And Reconstructive Surgery | MD70000455 (Washington) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Legacy Salmon Creek Hospital | 0446295711 | 313 |
| Legacy Clinics Llc | 0244144004 | 718 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Rosa Jaime Carbonell is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Rosa Jaime Carbonell, MD
3181 Sw Sam Jackson Park Rd # L-579,
Portland, OR 97239-3098
Ph: (503) 494-8211 | Rosa Jaime Carbonell, MD
3181 Sw Sam Jackson Park Rd # L-579,
Portland, OR 97239-3098
Ph: (503) 494-8211 |
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