Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Mark Frederick Carlson, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1265661243

Mr. Mark Frederick Carlson, MS, CCC-SLP is a Speech-Language Pathologist in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon and Washington.

Licensed in
OR, WA
In the registry since
2009
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

1603 NE 52nd Ave
Portland, OR 97213-2725
Phone: (503) 922-0768
Fax: (503) 914-5545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 12024 (OR)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence LL00004701 (WA)

Record details

NPI number1265661243
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , CCC-SLP
Sole proprietorYes
NPI enumeratedJuly 10, 2009
Last updated in NPPESJuly 10, 2009

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