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Individual

DR. JAMES MICHAEL CARLSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2400 NE NEFF RD, STE A, BEND, OR 97701-6752
(541) 389-3300
(541) 389-8115
Mailing address
2400 NE NEFF RD, STE A, BEND, OR 97701-6752
(541) 389-3300
(541) 389-8115

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
DO23967
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
286583
OR
Enumeration date
12/05/2005
Last updated
03/14/2014
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