Active NPI
Stephen Bradfield Carlson, PHARM D.
- Pharmacist
- Hillsboro, OR
National Provider Identifier
1346473451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH-0010804
- Practice address
- 226 SE 8TH Ave
Hillsboro, OR 97123-4218 - Phone
- (503) 601-7410
- Fax
- (503) 601-7136
- NPI assigned
- Aug 24, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH-0010804 | OR | Primary |
| Pharmacist | 183500000X | PH 00065072 | WA |
Addresses
Primary practice location
226 SE 8TH Ave
Hillsboro, OR 97123-4218
Mailing address
226 SE 8TH Ave
Hillsboro, OR 97123-4218
Phone (503) 601-7410
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH-0010804 | OR | MD | Pharmacist |
| PH 00065072 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251072000000",
"number": "1346473451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "226 SE 8TH AVE",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971234218",
"telephone_number": "503-601-7410",
"fax_number": "503-601-7136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "226 SE 8TH AVE",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971234218",
"telephone_number": "503-601-7410",
"fax_number": "503-601-7136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "STEPHEN",
"middle_name": "BRADFIELD",
"name_prefix": "Dr.",
"credential": "PHARM D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-24",
"last_updated": "2009-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0010804",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH 00065072",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.