Martin D Carlson LMT, MMP

NPI 1639362890 - Contractor - 171W00000X

NPI Details
NPI 1639362890
Gender Male
Enumeration Date 08/21/2007
Last Updated 08/21/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
10555 SE 82ND AVE
SUITE 104
PORTLAND OR, 97086-2374, US
Phone (503) 750-5824
Fax
Business Location
10555 SE 82ND AVE
SUITE 104
PORTLAND OR, 97086-2374, US
Phone (503) 750-5824
Fax
Toxanomy
Taxonomy Code 171W00000X
License State Oregon
License Number 4573
Remove 1639362890 NPI Number
 

According to our database, Mr. Martin D Carlson LMT, MMP NPI is 1639362890, taxonomy code is 171W00000X and license number is 4573, license state is located at Oregon. Martin D Carlson LMT, MMP physically located at 10555 Se 82nd Ave, Portland OR, 97086-2374. NPI Number Martin D Carlson LMT, MMP has the Individual type.

Sponsored links

1639362890 NPI number is provided on an as is basis without warranty of any kind. 1639362890 is maintained by the National Plan & Provider Enumeration System. The contents of Martin D Carlson LMT, MMP are for informational purposes only.