Carlson, Mark Frederick

Carlson, Mark Frederick is an sole proprietor health care provider with primary practice located at 1603 Ne 52Nd Ave , Portland OR 97213-2725. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Carlson, Mark Frederick can be contacted via phone (503) 922-0768.

Contact Information

Primary practice address
1603 Ne 52Nd Ave Portland OR 97213-2725
Phone: (503) 922-0768
Fax: (503) 914-5545
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 12024 Oregon
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X LL00004701 Washington

Profile Details

NPI number 1265661243
LBN Legal business name Carlson, Mark Frederick
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2009
Last updated Jul 10th, 2009 - about 16 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.

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