Zachary Carlson
Zachary Carlson is a Student in an Organized Health Care Education/Training Program in Corvallis, Oregon. Practices as a sole proprietor. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2025
Practice location Address checks out
1601 SW Jefferson Ave # 203Corvallis, OR 97331-8656
Phone: (541) 974-2421
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X · Licence PI-0014537 (OR) |
|---|
Record details
| NPI number | 1962395327 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 2, 2025 |
| Last updated in NPPES | June 2, 2025 |
| Certification date | June 2, 2025 |
| Mailing address | 99086 Kemlin Pl, Brookings, OR 97415-9329 |
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