Individual
DR. RICARDO CARLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2700 SE STRATUS AVE, MCMINNVILLE, OR 97128-6255
(503) 472-6131
Mailing address
PO BOX 2065, SEATTLE, WA 98111-2065
(888) 828-3195
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
18114
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070818
—
OR
01
—
81441
WA L & I
WA
05
—
8378390
—
WA
01
—
F11039
PROVIDENCE
—
05
—
XPY206321
—
CA
Enumeration date
07/10/2006
Last updated
01/21/2008
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