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

Dr. Roger David Carlson, PHD

Individual provider Psychologist · NPI 1518185115

Dr. Roger David Carlson, PHD is a Clinical Psychologist in Portland, Oregon. Qualified in 1972, 54 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
54
Licensed in
OR
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1838 SW Jefferson St
Portland, OR 97201-2463
Phone: (503) 245-2929
Fax: (503) 245-4478
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 1511 (OR)

Record details

NPI number1518185115
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedApril 22, 2007
Last updated in NPPESOctober 11, 2018
Mailing address9450 Sw 52nd Ave, Portland, OR 97219-5040

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1972 (54 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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