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ROSA JAIME CARBONELL MD
NPI 1689178766
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since March 22, 2018PECOS EnrolledAccepts Medicare Assignment
3181 SW SAM JACKSON PARK RD # L-579, PORTLAND, OR 97239(503) 494-8211 Get Directions Write a Review

NPPES record last updated: November 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 7, 2025, Mar 22, 2018 (2 updates tracked since 2018).

About Rosa Jaime Carbonell Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROSA JAIME CARBONELL MD (NPI 1689178766) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Legacy Good Samaritan Medical Center, and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1689178766
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameROSA JAIME CARBONELLCredential: MD
Location Address3181 SW SAM JACKSON PARK RD # L-579Portland, OR 97239-3098
Mailing Address3181 Sw Sam Jackson Park Rd # L-579Portland, OR 97239-3098 · (503) 494-8211
Phone(503) 494-8211
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 22, 2018
Last NPPES UpdateNovember 7, 20252 updates tracked since enumeration
NPPES CertifiedNovember 7, 2025
✔ NPI 1689178766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryTaxonomy 207VF0040X · License MD211258 (OR), MD70000455 (WA)
3181 SW SAM JACKSON PARK RD # L-579, Portland, OR 97239
Open in Google Maps ↗

Secondary Practice Location 1

Location 12222 NW Lovejoy St Ste 304Portland, OR 97210-5100 · Phone (503) 413-5787

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rosa Jaime Carbonell Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244581312
PECOS Enrollment IDI20251120002835, I20251120003262
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Legacy Good Samaritan Medical Center

Acute Care Hospitals · Portland, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380017
Location1015 NW 22nd Avenue, W121Portland, OR 97210 · Multnomah County
Emergency services Birthing friendly

Legacy Salmon Creek Medical Center

Acute Care Hospitals · Vancouver, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500150
Location2211 NE 139th StreetVancouver, WA 98686 · Clark County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CLAIRE MCCORD CONRAD MD
Pediatrics
3181 SW SAM JACKSON PARK RD # L-579
PORTLAND, OR 97239
Multnomah County (503) 494-8211
LYNDSEY SANDOW MD
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD # L-579
PORTLAND, OR 97239
Multnomah County (503) 494-8311
MS. ERIKA BENNETT MD
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD # L-579
PORTLAND, OR 97239
Multnomah County (503) 494-8211
DR. WILLIAM ANDREW FRIZZELL M.D.
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD # L-579
PORTLAND, OR 97239
Multnomah County (503) 494-8211
DR. ZOE ANN THUESMUNN MD
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD # L-579
PORTLAND, OR 97239
Multnomah County (503) 494-8652
DR. BOONE ARTHUR RHINEHART DO
Pediatrics
3181 SW SAM JACKSON PARK RD # L-579
PORTLAND, OR 97239
Multnomah County (503) 346-0640
BRET GILBERT
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD # L-579
PORTLAND, OR 97239
Multnomah County (503) 494-8211
DR. PHILIP JAMES BLATT MD
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD # L-579
PORTLAND, OR 97239
Multnomah County (503) 494-8211

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rosa Carbonell's NPI number?

The NPI number for Rosa Carbonell is 1689178766. It was assigned to this individual provider in the NPPES registry on March 22, 2018.

Where is Rosa Carbonell located?

Rosa Carbonell practices at 3181 SW Sam Jackson Park Rd # L-579, Portland, OR 97239. The listed phone number is (503) 494-8211.

What is Rosa Carbonell's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Rosa Carbonell enrolled in Medicare?

Yes. Rosa Carbonell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Rosa Carbonell accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Rosa Carbonell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Rosa Carbonell affiliated with any hospitals?

According to CMS data, Rosa Carbonell is affiliated with Legacy Good Samaritan Medical Center and Legacy Salmon Creek Medical Center.

When was this NPI record last updated?

The NPPES record for Rosa Carbonell was last updated on November 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.