Active NPI
Dustin Daniel Carlson, FNP
- Family Nurse Practitioner
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 201702479NP-PP
- Practice address
- 80 SE Madison St Ste 150
Portland, OR 97214-4527 - Phone
- (971) 449-7320
- NPI assigned
- Apr 22, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 340594 | NY | |
| Family Nurse Practitioner | 363LF0000X | 201702479NP-PP | OR | Primary |
Addresses
Primary practice location
80 SE Madison St Ste 150
Portland, OR 97214-4527
Mailing address
80 SE Madison St Ste 150
Portland, OR 97214-4527
Phone (971) 449-7320
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170510002077 | OR | Practitioner - Nurse Practitioner | 0840581187 |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
80 SE Madison St
Suite 150
Portland, OR 97214-4527
Phone 9712069211101
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 340594 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ddchealth, LLC | Current | Accepting new patients | |
| Clinicops, LLC | Family | Current | Accepting new patients |
| Clinicops LLC | Past | Accepting new patients | |
| Clinicops LLC | Family | Past | Accepting new patients |
| Clinicops LLC | Past | Accepting new patients |
Locations
3 River Ave
Eugene, OR 97404
2970 Highway 101
Florence, OR 97439
Phone (541) 902-0800
2459 SE Tualatin Valley Hwy
Hillsboro, OR 97123
Phone (971) 275-8783
923 NW 14th Ave
Portland, OR 97209
80 SE Madison St
Ste 150
Portland, OR 97214
Phone (971) 206-9211
1535 Liberty St SE
Salem, OR 97302
Phone (503) 371-8346
374 Owens St SE
Salem, OR 97302
Phone (503) 399-1400
Interoperability endpoints
- dustin.carlson.1@32746.direct.athenahealth.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Portland, OR
- NPI 1154985752
-
- Family Medicine Physician
- Portland, OR
- NPI 1275821266
-
- Community/Behavioral Health Agency
- Portland, OR
- NPI 1215713961
-
- Internal Medicine Physician
- Florence, OR
- NPI 1497251268
-
- Family Medicine Physician
- Eugene, OR
- NPI 1912431594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775520000000",
"number": "1497109730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 SE MADISON ST STE 150",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972144527",
"telephone_number": "971-449-7320",
"fax_number": "949-989-8079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 SE MADISON ST STE 150",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972144527",
"telephone_number": "971-449-7320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "DUSTIN",
"middle_name": "DANIEL",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-22",
"last_updated": "2026-04-07",
"certification_date": "2026-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "340594",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201702479NP-PP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.