Individual
COLBY CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1060 CHAMBERS ST, EUGENE, OR 97402-3745
(541) 342-3373
(541) 342-3374
Mailing address
1060 CHAMBERS ST, EUGENE, OR 97402-3745
(541) 342-3373
(541) 342-3374
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DP182931
OR
390200000X
Student in an Organized Health Care Education/Training Program
PR377
FL
Other
Enumeration date
06/22/2014
Last updated
09/10/2018
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