Organization
DDCHEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUSTIN CARLSON FNP-BC (PROVIDER GENERAL MANAGER)
(503) 944-9727
Entity
Organization
Contact information
Practice address
80 SE MADISON ST STE 150, PORTLAND, OR 97214-4527
(971) 206-9211
(877) 420-5510
Mailing address
80 SE MADISON ST STE 150, PORTLAND, OR 97214-4527
(971) 206-9211
(949) 989-8079
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/29/2019
Last updated
04/24/2026
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