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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MARK FREDERICK CARLSON, M.S., CCC-SLP

Active Sole Proprietor

MR. MARK FREDERICK CARLSON, M.S., CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in PORTLAND, Oregon. NPI 1265661243 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · PORTLAND, OR

Registration Details

NPI Number
1265661243
Provider Type
Individual
Gender
Male
NPI Issued
Jul 10, 2009 (17.08107541985 yrs)
Last Updated
Jul 10, 2009
Licenses
12024 (OR)
LL00004701 (WA)
Sole Proprietor
Yes

Practice Information

Address
1603 NE 52ND AVE
PORTLAND, OR, 972132725
Browse OR providers · Browse ZIP 97213
Phone
5039220768
Fax
5039145545
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in PORTLAND, OR

Name Credential NPI
MARGO S WEISMAN MA 1609847797
MICHELLE T MOLINARO MS,CCC/SLP 1346203197
ELIZABETH NESSER MS, CCC-SLP 1588628887
MRS. BETH A LOUGH MS, CCC-SLP 1942250352
CAMILLE RENEE JUNTUNEN MA,CCC/SLP 1609828730
KERRY ANNE ROEDIGER SLP 1528006368
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.