Individual
PAUL STEPHEN CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2485 W 7TH PL, EUGENE, OR 97402-2687
(541) 344-4788
Mailing address
1962 OAK ST, EUGENE, OR 97405-2914
(541) 760-7595
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
5936
OR
225700000X
Massage Therapist
5936
OR
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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