Individual provider · Type 1 NPI

Martin D. Carlson, LMT, MMP

Contractor · Portland, OR

NPI number 1639362890 Active

Practice location

10555 SE 82nd Ave, Suite 104
Portland, OR 97086-2374

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000X4573 (OR)

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1639362890

Martin D. Carlson, LMT, MMP's National Provider Identifier is 1639362890, issued on Aug 21, 2007. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Portland, OR. The record was last updated on Aug 21, 2007.