Misty Lynn Carlson M.D.

NPI 1083824031 - Pediatrics - 2080P0202X

NPI Details
NPI 1083824031
Gender Female
Enumeration Date 05/22/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
707 SW GAINES ST
CDRC-P
PORTLAND OR, 97239-2901, US
Phone (503) 494-8702
Fax
Business Location
13014 NW CORSO LN
PORTLAND OR, 97229-3709, US
Phone
Fax
Toxanomy
Taxonomy Code 2080P0202X
License State Oregon
License Number LL16195
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According to our database, Dr. Misty Lynn Carlson M.D. NPI is 1083824031, taxonomy code is 2080P0202X and license number is LL16195, license state is located at Oregon. Misty Lynn Carlson M.D. physically located at 707 Sw Gaines St, Portland OR, 97239-2901. NPI Number Misty Lynn Carlson M.D. has the Individual type.

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1083824031 NPI number is provided on an as is basis without warranty of any kind. 1083824031 is maintained by the National Plan & Provider Enumeration System. The contents of Misty Lynn Carlson M.D. are for informational purposes only.