Carlisle, James R
Carlisle, James R is an individual health care provider with primary practice located at 5050 Ne Hoyt St Suite 240, Portland OR 97213-2991. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Carlisle, James R can be contacted via phone (503) 215-6480.Contact Information
Primary practice address
5050 Ne Hoyt St Suite 240
Portland OR 97213-2991
Phone: (503) 215-6480
Fax: (503) 215-6469
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD16909 | Oregon |
Profile Details
| NPI number | 1083644660 |
|---|---|
| LBN Legal business name | Carlisle, James R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Apr 12th, 2012 - about 13 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 | 1083644660 | NPPES |
| Oregon | MEDICAID | 014642 |
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