Individual
RICHARD HARLAN CARLSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
104 W 5TH AVE, STE. 330W, SPOKANE, WA 99204-4880
(509) 624-2313
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(509) 624-2313
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD60641325
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2011
Last updated
07/18/2016
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