Carl Brent Valentine, IDMT

Primary specialty

Independent Duty Medical TechniciansTaxonomy code 1710I1003X

Practice address

4131 SE River Dr
Milwaukie, OR 97267-6801

Phone

(503) 786-1062

NPI assigned

Mar 23, 2010

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269302400000",
    "number": "1275857005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 SE RIVER DR",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972676801",
            "telephone_number": "503-786-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 SE RIVER DR",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972676801",
            "telephone_number": "503-786-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTINE",
        "first_name": "CARL",
        "middle_name": "BRENT",
        "credential": "IDMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-23",
        "last_updated": "2010-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Marie Valdes, CNM
• Yvette Valdez, PHYSICAL THERAPIST
• Elaine Sue Vale, MD
• Lealyn Valencia
• Kent Lewis Valente Jr., LMT
• Julia Valentine, LMT
• Alexandra Nadine Vallejo
• Megan Van Wagoner
• Casey Vandenbark, DPT
• Vonda Joy Vander Yacht, P.T.A.

• Independent Duty Medical Technicians in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Independent Duty Medical Technicians in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.