Carlson, John
Carlson, John is an sole proprietor health care provider with primary practice located at 10260 Sw Greenburg Rd Ste 414 , Tigard OR 97223-5500. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Carlson, John can be contacted via phone (503) 597-8841.Contact Information
Primary practice address
10260 Sw Greenburg Rd Ste 414
Tigard OR 97223-5500
Phone: (503) 597-8841
Fax: (503) 213-5860
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 5810 | Oregon |
Profile Details
| NPI number | 1073885166 |
|---|---|
| LBN Legal business name | Carlson, John |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 3rd, 2012 |
| Last updated | Jul 21st, 2022 - about 4 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 | 1073885166 | NPPES |
| Oregon | MEDICAID | 500725966 |
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