Carlson, Andrew
Carlson, Andrew is an individual health care provider with primary practice located at 2191 Nw 2Nd St Bldg 4 , Mcminnville OR 97128-9106. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Carlson, Andrew can be contacted via phone (503) 434-9594.Contact Information
Primary practice address
2191 Nw 2Nd St Bldg 4
Mcminnville OR 97128-9106
Phone: (503) 434-9594
Fax: (503) 434-6808
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 61668 | Oregon |
Profile Details
| NPI number | 1730537119 |
|---|---|
| LBN Legal business name | Carlson, Andrew |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2016 |
| Last updated | Aug 7th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730537119 | NPPES |
| Oregon | MEDICAID | 500715224 |
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