Individual
DR. JOHN CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
10260 SW GREENBURG RD STE 414, TIGARD, OR 97223-5500
(503) 597-8841
(503) 213-5860
Mailing address
10260 SW GREENBURG RD STE 414, TIGARD, OR 97223-5500
(503) 597-8841
(503) 213-5860
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5810
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500725966
—
OR
Enumeration date
02/03/2012
Last updated
07/21/2022
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