Individual provider Active NPI

Dustin Daniel Carlson, FNP

  • Family Nurse Practitioner
  • Portland, OR
National Provider Identifier
1497109730
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201702479NP-PP Issued in OR
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

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
340594NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ddchealth, LLC Current Accepting new patients
Clinicops, LLC Family CurrentSince May 14, 2020 Accepting new patients
Clinicops LLC PastSince May 25, 2025 Accepting new patients
Clinicops LLC Family PastSince May 25, 2025 Accepting new patients
Clinicops LLC PastSince May 25, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.