Individual
DAVID POULSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1410 MAY ST, HOOD RIVER, OR 97031
(541) 386-1399
(541) 386-7067
Mailing address
1410 MAY ST, HOOD RIVER, OR 97031-1347
(541) 386-1399
(541) 386-7067
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
A146507
CA
207W00000X
Ophthalmology Physician
Primary
MD192975
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346685633
—
CA
Enumeration date
05/01/2013
Last updated
07/21/2022
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