MR. MARTIN CARLSON, LMT, MMP

Contractor

Active Individual
NPI: 1639362890

Practice Address

10555 SE 82ND AVE
SUITE 104
Portland, OR 97086

Phone: (503) 750-5824

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes 4573 (OR)

Frequently Asked Questions

NPI 1639362890 is the National Provider Identifier for MR. MARTIN CARLSON, LMT, MMP, a Contractor provider located in Portland, OR. This NPI was enumerated on August 21, 2007.
MR. MARTIN CARLSON, LMT, MMP practices at 10555 SE 82ND AVE, SUITE 104, Portland, OR 97086.

Quick Facts

NPI
1639362890
Type
Individual
Enumerated
Aug 21, 2007
Last Updated
Aug 21, 2007

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