| Bruce D. Carlson | |
|
422 N Main Condon OR 97823-0705 | |
| (541) 384-2061 | |
| Not Available |
| Full Name | Bruce D. Carlson |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 422 N Main, Condon, Oregon |
| Authorized Official Name and Position | Cindy Hess (OFFICE MANAGER) |
| Authorized Official Contact | 5413842061 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce D. Carlson Po Box 705 Condon OR 97823-0705 Ph: (541) 384-2061 | Bruce D. Carlson 422 N Main Condon OR 97823-0705 Ph: (541) 384-2061 |
| NPI Number | 1376608901 |
|---|---|
| Provider Enumeration Date | 12/26/2006 |
| Last Update Date | 02/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376608901 | NPI | - | NPPES |
| 223149 | Medicaid | OR | |
| DA2998 | Other | MEDICARE-RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |