Carlson, Misty Lynn
Carlson, Misty Lynn is an individual health care provider with primary practice located at 707 Sw Gaines St Cdrc-P, Portland OR 97239-2901. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as her primary health care specialty. Carlson, Misty Lynn can be contacted via phone (503) 494-8702.Contact Information
Primary practice address
707 Sw Gaines St Cdrc-P
Portland OR 97239-2901
Phone: (503) 494-8702
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | LL16195 | Oregon |
Profile Details
| NPI number | 1083824031 |
|---|---|
| LBN Legal business name | Carlson, Misty Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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