Individual
DENNIS ROY CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19400 NW EVERGREEN PKWY, HILLSBORO, OR 97124-7031
(503) 690-5015
Mailing address
19400 NW EVERGREEN PKWY, HILLSBORO, OR 97124-7031
(503) 690-5015
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
OR
Other
Enumeration date
08/24/2006
Last updated
07/08/2007
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