Individual
THOMAS J CARLSEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2200 NE NEFF RD, STE 200, BEND, OR 97701-4281
(541) 382-3344
(541) 382-1681
Mailing address
2200 NE NEFF RD, STE 200, BEND, OR 97701-4281
(541) 382-3344
(541) 382-1681
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
MD12666
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
232504
—
OR
01
—
MD12666
OBME
OR
Enumeration date
06/20/2005
Last updated
07/08/2007
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