Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carol Anne Provencal

Individual provider Case Manager/Care Coordinator · NPI 1619354107

Carol Anne Provencal is a Case Manager/Care Coordinator in Portland, Oregon. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

847 NE 19th Ave Ste 100
Portland, OR 97232-2684
Phone: (503) 238-0769
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1619354107
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 4, 2015
Last updated in NPPESMay 4, 2015

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