| Bruce D. Carlson M.d. | |
|
236 E Newport Ave Hermiston OR 97838-2449 | |
| (541) 567-1137 | |
| (541) 567-2336 |
| Full Name | Bruce D. Carlson M.d. |
|---|---|
| Speciality | Clinic/center - Health Service |
| Location | 236 E Newport Ave, Hermiston, Oregon |
| Authorized Official Name and Position | Tami J Foster (OFFICE MANAGER) |
| Authorized Official Contact | 5415671137 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce D. Carlson M.d. 236 E Newport Ave Hermiston OR 97838-2449 Ph: (541) 567-1137 | Bruce D. Carlson M.d. 236 E Newport Ave Hermiston OR 97838-2449 Ph: (541) 567-1137 |
| NPI Number | 1508921016 |
|---|---|
| Provider Enumeration Date | 12/26/2006 |
| Last Update Date | 04/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508921016 | NPI | - | NPPES |
| 223149 | Medicaid | OR | |
| OR1807 | Other | OR | HEALTH NET OF OREGON |
| 080385000 | Other | OR | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Primary |
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