NPI 1932595402 · live from the CMS NPI Registry
Dustin M Carlson, M.D.
Anesthesiology in Portland, OR. National Provider Identifier 1932595402, active.
NPI record
| NPI | 1932595402 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 |
| Practice phone | 503-494-7641 |
| Mailing address | 68 S Service Rd Ste 350, Melville, NY 11747 |
| Enumerated | April 12, 2015 |
| Last updated | November 12, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology | 207L00000X | 192165 (OR) |
| Anesthesiology primary | 207L00000X | 313161 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.