Individual
MR. DANIEL R CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1911 MOUNTAIN VIEW LN, SUITE 200, FOREST GROVE, OR 97116-2382
(503) 357-2827
(503) 357-4831
Mailing address
1911 MOUNTAIN VIEW LN, SUITE 200, FOREST GROVE, OR 97116-2382
(503) 357-2827
(503) 357-4831
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14250
OR
Other
Enumeration date
07/24/2008
Last updated
07/24/2008
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