CAROLINE GIORGIANA PHIPPEN ROBERTS (Credential# 1392956) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2020. The license expiration date date is December 31, 2020. The license status is ACTIVE.
CAROLINE GIORGIANA PHIPPEN ROBERTS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.056246. The credential type is physician/surgeon. The effective date is January 1, 2020. The expiration date is December 31, 2020. The business address is 13563 Nw Payne Dr, Portland, OR 97229. The current status is active.
| Licensee Name | CAROLINE GIORGIANA PHIPPEN ROBERTS |
| Credential ID | 1392956 |
| Credential Number | 1.056246 |
| Credential Type | Physician/Surgeon |
| Business Address |
13563 Nw Payne Dr Portland OR 97229 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-03-08 |
| Effective Date | 2020-01-01 |
| Expiration Date | 2020-12-31 |
| Refresh Date | 2019-12-12 |
| Street Address | 13563 NW Payne Dr |
| City | Portland |
| State | OR |
| Zip Code | 97229 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paul C Gilham | 13670 Nw Laidlaw Road, Portland, OR 97229 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Thomas D Woodworth | 414 Nw Skyline Blvd, Portland, OR 97229 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Michael M Edwards | 3010 Nw Bauer Woods Dr, Portland, OR 97229 | Interior Designer | 2009-01-01 ~ 2009-12-31 |
| Maritza Martel | 8411 Nw Thompson Rd, Portland, OR 97229 | Physician/surgeon | 2009-05-22 ~ 2010-05-31 |
| James Jensen M.d. | 3114 Nw Spencer St, Portland, OR 97229 | Physician/surgeon | 2004-03-15 ~ 2005-04-30 |
| Theresa M O'hollaren | 8610 Nw Hazeltine Dr, Portland, OR 97229 | Registered Nurse | 1999-05-07 ~ 2000-06-30 |
| Victoria A Edwards | 10937 No. West Appellate Way, Portland, OR 97229 | Speech and Language Pathologist | 2001-07-25 ~ 2002-04-30 |
| Donald M Kelly | 3669 Nw 123rd Place, Portland, OR 97229 | Pharmacist | 1998-02-01 ~ 1999-01-31 |
| Carlo Bifulco | 8411 Nw Thompson Rd, Portland, OR 97229 | Physician/surgeon | 2009-05-22 ~ 2010-05-31 |
| Maqsuda Kabir · Samad | 14054 Nw Lakeview Dr, Portland, OR 97229-2443 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Find all Licenses in zip 97229 | |||
| City | Portland |
| Zip Code | 97229 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Portland |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Caroline O Amin | 5 Colby Way, Avon, CT 06001 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Caroline P Kurtz | 30 Stevens St Ste C, Norwalk, CT 06850-3859 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Caroline T Kedem | 423 Whitney Ave., New Haven, CT 06511 | Physician/surgeon | 2004-04-01 ~ 2005-04-30 |
| Caroline T Kubiak | 29 Brite Ave, Scarsdale, NY 10583 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Caroline Debenedictis | 282 Washington St, Hartford, CT 06106-3322 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Min Guo | 35 Roberts Rd, New City, NY 10956-4234 | Physician/surgeon | 2017-06-01 ~ 2018-05-31 |
| Caroline K Dueger Md | 24 Battle Street, Somers, CT 06071 | Physician/surgeon | 1999-12-22 ~ 2000-12-31 |
| Caroline Jensen | 11319 N Via Milano Way, Fresno, CA 93730 | Physician/surgeon | 2016-10-01 ~ 2017-09-30 |
| Caroline J Jjingo | 180 Cabrini Blvd, New York, NY 10033 | Physician/surgeon | 2009-02-12 ~ 2010-02-28 |
| Michael R Alexander Md | 25 Caroline Rd, East Haven, CT 06512 | Physician/surgeon | 1998-02-23 ~ 1999-04-30 |
Please comment or provide details below to improve the information on CAROLINE GIORGIANA PHIPPEN ROBERTS.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).