Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Daniel Carlson

Individual provider Physician Assistant · NPI 1659916690

Daniel Carlson is a Physician Assistant in Coos Bay, Oregon. Qualified in 2020, 6 years ago. Practices with Coquille Indian Tribe, a 21-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
6
Licensed in
OR
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

630 Miluk Dr
Coos Bay, OR 97420-7728
Phone: (541) 888-9494
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7101 Ne 137th Ave, Vancouver, WA 98682-4933 — (800) 813-2000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA202384 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1659916690
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 13, 2019
Last updated in NPPESAugust 16, 2021
Certification dateAugust 16, 2021
Mailing addressPo Box 3190, Coos Bay, OR 97420-0407

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Coquille Indian Tribe — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Coos Bay