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1518185115
ROGER DAVID CARLSON
PORTLAND, OR
NPI
1518185115
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: OR 1511)
Enumeration Date
2007-04-22
Last Update Date
2018-10-11
Business Address
Dr. ROGER DAVID CARLSON Ph.D.
1838 SW JEFFERSON ST
PORTLAND, OR 97201-2463
Phone number: 503-245-2929
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Mailing Address
Dr. ROGER DAVID CARLSON Ph.D.
9450 SW 52ND AVE
PORTLAND, OR 97219-5040
Phone number:
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