Carlson, Roger David
Carlson, Roger David is an sole proprietor health care provider with primary practice located at 1838 Sw Jefferson St , Portland OR 97201-2463. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Carlson, Roger David can be contacted via phone (503) 245-2929.Contact Information
Primary practice address
1838 Sw Jefferson St
Portland OR 97201-2463
Phone: (503) 245-2929
Fax: (503) 245-4478
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1511 | Oregon |
Profile Details
| NPI number | 1518185115 |
|---|---|
| LBN Legal business name | Carlson, Roger David |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 22nd, 2007 |
| Last updated | Oct 11th, 2018 - about 7 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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