Individual
PATRICK S CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
175 FORE RIVER PKWY, PORTLAND, ME 04102-2779
(207) 879-3265
Mailing address
175 FORE RIVER PKWY, PORTLAND, ME 04102-2779
(207) 879-3265
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-477
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050167
ANTHEM PIN
ME
Enumeration date
06/16/2006
Last updated
07/25/2025
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