Roger David Carlson in Portland - Psychologist

Roger David Carlson - NPI 1518185115

Roger David Carlson is a Psychologist in Portland, Oregon. Roger David Carlson practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Roger David Carlson is 1518185115. The last update date is 2018-10-11.

Roger David Carlson's current location address is 1838 Sw Jefferson St, Portland, Oregon. You can contact this provider via phone number 5032452929 and fax number 5032454478. The mailing address for Roger David Carlson is 1838 Sw Jefferson St, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Roger David Carlson
Address 1838 Sw Jefferson St, Portland, Oregon
Phone Number 5032452929
Fax Number 5032454478
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1518185115
Provider Enumeration Date 2007-04-22
Last Updated Date 2018-10-11

Provider Mailing Address Detail

Address 1838 Sw Jefferson St
City Portland
State Oregon (OR)
Post Code 972012463
Phone Number 5032452929
Fax Number 5032454478

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No 1511
Definition:
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce

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FAQs about Roger David Carlson

What is the unique 10-digit identification code issued to Roger David Carlson by the Centers for Medicare & Medicaid Services?

The Roger David Carlson has been assigned the NPI (National Provider Identifier) 1518185115 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Roger David Carlson's facilities are situated?

The facilities of Roger David Carlson are physically located at the following address: 1838 Sw Jefferson St, Portland, OR, 972012463.

What is Roger David Carlson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Roger David Carlson is Psychologist, and the corresponding taxonomy classification code for this specialized field is 103T00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1518185115 to Roger David Carlson?

The Roger David Carlson received its 1518185115 assignment from the Centers for Medicare & Medicaid Services on 2007-04-22.

When was the information pertaining to Roger David Carlson most recently updated or revised?

The details related to Roger David Carlson, including its address, specialty, and other relevant information, were last updated or revised on 2018-10-11.

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