Kori Lynne Carbonaro, RN, BSN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

201390954RN Issued in OR

Practice address

1260 NW Waterhouse Ave
Beaverton, OR 97006-5747

Phone

(503) 356-2420

Fax

(503) 356-2425

NPI assigned

Jun 9, 2026

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1780963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1245164029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 NW WATERHOUSE AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970065747",
            "telephone_number": "503-356-2420",
            "fax_number": "503-356-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 NW WATERHOUSE AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970065747",
            "telephone_number": "503-356-2420",
            "fax_number": "503-356-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBONARO",
        "first_name": "KORI",
        "middle_name": "LYNNE",
        "credential": "RN, BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-09",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "OR",
            "license": "201390954RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Rae Cantwell, D.C.
• Yingjie Cao, RD
• Vincent Capellino, PT
• Devan A Capps
• Cynthia D Caraballo-Hunt, MD
• Andrew S Carbungco
• Marai Patricia Cardiel
• Julio Cesar Cardona Jr., D.C.
• Care Nimble Medical Group Oregon PC
• Caregivers Nationwide

• School Registered Nurse in Beaverton, OR
• Providers in Beaverton, OR by specialty
• School Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.