Carlon, Ricardo

Carlon, Ricardo is an individual health care provider with primary practice located at 2700 Se Stratus Ave , Mcminnville OR 97128-6255. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Carlon, Ricardo can be contacted via phone (503) 472-6131.

Contact Information

Primary practice address
2700 Se Stratus Ave Mcminnville OR 97128-6255
Phone: (503) 472-6131
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 18114 Oregon

Profile Details

NPI number 1194759902
LBN Legal business name Carlon, Ricardo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jan 21st, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194759902 NPPES
Washington Other 81441 WA L & I
Washington Other F11039 WA L & I
Washington Other F11039 WA L & I
Washington MEDICAID XPY206321 WA L & I
Washington MEDICAID 070818 WA L & I
Washington MEDICAID 8378390 WA L & I

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