Bruce D Carlson M.D.

LBN: Bruce D Carlson M.D.
Bruce D Carlson M.D. is an health care organization with primary practice located at 87480 Spruce Ln , Christmas Valley OR 97641. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Bruce D Carlson M.D. can be contacted via phone (541) 576-2343, or through Carlson, Bruce D via phone (541) 576-2343.

Contact Information

Primary practice address
87480 Spruce Ln Christmas Valley OR 97641
Fax: (541) 576-2869
Website:
Authorized official contact:
Name: Carlson, Bruce D Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1851456305
LBN Legal business name Bruce D Carlson M.D.
DBA Doing business as
Authorized official Carlson, Bruce D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2006
Last updated Sep 26th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851456305 NPPES
Oregon MEDICAID 182817
Oregon Other 080385000

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