Carlson, Jeffrey Reed
Carlson, Jeffrey Reed is an individual health care provider with primary practice located at 1500 Division St 1St Floor, Oregon City OR 97045-1527. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Carlson, Jeffrey Reed can be contacted via phone (503) 722-3705.Contact Information
Primary practice address
1500 Division St 1St Floor
Oregon City OR 97045-1527
Phone: (503) 722-3705
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 44656 | Minnesota |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 44656 | Minnesota |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 44656 | Minnesota |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 2084S0012X | 44656 | Minnesota |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | DO166997 | Oregon |
Profile Details
| NPI number | 1508842584 |
|---|---|
| LBN Legal business name | Carlson, Jeffrey Reed |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2005 |
| Last updated | Feb 20th, 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 | 1508842584 | NPPES |
| Oregon | MEDICAID | 500672707 | |
| Oregon | MEDICAID | 500684722 |
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