Individual
JEFFREY REED CARLSON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1500 DIVISION ST, 1ST FLOOR, OREGON CITY, OR 97045-1527
(503) 722-3705
Mailing address
PO BOX 3158, ST. CLOUD HOSPITAL, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
44656
MN
2084P0800X
Psychiatry Physician
44656
MN
2084P0800X
Psychiatry Physician
Primary
DO166997
OR
2084P0804X
Child & Adolescent Psychiatry Physician
44656
MN
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
44656
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500672707
—
OR
05
—
500684722
—
OR
Enumeration date
12/21/2005
Last updated
02/20/2017
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