Individual
DAVID C CARKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1775 NE 39TH AVE, PORTLAND, OR 97212-5322
(503) 288-6181
(503) 288-7690
Mailing address
1775 NE 39TH AVE, PORTLAND, OR 97212-5322
(503) 288-6181
(503) 288-7690
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1137ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T67484
PROVIDENCE
OR
Enumeration date
10/13/2006
Last updated
11/09/2007
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