Individual
DONALD J CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1050 W ELM AVE, SUITE 170, HERMISTON, OR 97838-2715
(541) 567-8750
(541) 564-0498
Mailing address
1050 W ELM AVE, SUITE 170, HERMISTON, OR 97838-2715
(541) 567-8750
(541) 564-0498
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DP00233
OR
Other
Enumeration date
12/12/2006
Last updated
08/17/2011
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