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1720096282
NELS LOYAL CARLSON
PORTLAND, OR
NPI
1720096282
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: OR MD21530)
Enumeration Date
2006-08-03
Last Update Date
2007-07-08
Business Address
NELS LOYAL CARLSON MD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-6400
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Mailing Address
NELS LOYAL CARLSON MD
7125 SW GABLE PARK RD
PORTLAND, OR 97225-2625
Phone number:
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