Individual
DR. MISTY LYNN CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3377 RIVERBEND DR, SPRINGFIELD, OR 97477-8803
(541) 222-6160
(541) 222-6166
Mailing address
13014 NW CORSO LN, PORTLAND, OR 97229-3709
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
LL16195
OR
2080P0202X
Pediatric Cardiology Physician
Primary
MD126085
OR
Other
Enumeration date
05/22/2007
Last updated
10/02/2024
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