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

Rosa Jaime Carbonell, MD

Individual provider Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · NPI 1689178766

Rosa Jaime Carbonell, MD is an Obstetrics/Gynecology in Portland, Oregon. Qualified in 2018, 8 years ago. Practices with Legacy Salmon Creek Hospital, a 313-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Oregon and Washington.

Years since qualifying
8
Licensed in
OR, WA
In the registry since
2018
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3181 SW Sam Jackson Park Rd # L-579
Portland, OR 97239-3098
Phone: (503) 494-8211
Show map & directions

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

Additional practice locations (1)

  • 2222 Nw Lovejoy St Ste 304, Portland, OR 97210-5100 — (503) 413-5787

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician Taxonomy 207VF0040X · Licence MD211258 (OR)
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician Taxonomy 207VF0040X · Licence MD70000455 (WA)

Record details

NPI number1689178766
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2018
Last updated in NPPESNovember 7, 2025
Certification dateNovember 7, 2025
Mailing address3181 Sw Sam Jackson Park Rd # L-579, Portland, OR 97239-3098

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Legacy Salmon Creek Hospital — 313 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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