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Individual

DR. DOUGLAS PAUL CARLSTROM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2160 W 11TH AVE, SUITE A, EUGENE, OR 97402-3564
(541) 484-2004
(541) 484-0800
Mailing address
2160 W 11TH AVE, SUITE A, EUGENE, OR 97402-3564
(541) 484-2004
(541) 484-0800

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1732
OR
111N00000X
Chiropractor
27-1732
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
152009
OR
Enumeration date
06/30/2006
Last updated
02/07/2013
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