NPI 1669562476 · live from the CMS NPI Registry
David C Carkner
Optometrist in Portland, OR. National Provider Identifier 1669562476, active.
NPI record
| NPI | 1669562476 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 1775 Ne 39th Ave, Portland, OR 97212 |
| Practice phone | 503-288-6181 |
| Enumerated | October 13, 2006 |
| Last updated | November 9, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 1137ATI (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.