Bruce D. Carlson M.D.
Organization Active NPI Health Service Clinic/Center · Hermiston, OR
NPI 1508921016 · NPPES record last updated Apr 19, 2022
Key facts
- NPI
- 1508921016
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Health Service Clinic/Center 261QH0100X
- Legal business name
- BRUCE D. CARLSON M.D.
- Practice address
- 236 E Newport Ave
Hermiston, OR 97838-2449 - Phone
- (541) 567-1137
- Fax
- (541) 567-2336
- NPI assigned
- Dec 26, 2006
- Organization subpart
- No
Authorized official
- Name
- Tami J Foster
- Title
- Office Manager
- Phone
- (541) 567-1137
Practitioners 1
-
Daniel A Brown, PA-C
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Yes | ||
| Rural Health Clinic/Center | 261QR1300X |
Addresses
Primary practice location
236 E Newport Ave
Hermiston, OR 97838-2449
Mailing address
236 E Newport Ave
Hermiston, OR 97838-2449
Phone (541) 567-1137
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 223149 | Medicaid | OR | |
| OR1807 | Other | OR | HEALTH NET OF OREGON |
| 080385000 | Other | OR | BLUE CROSS BLUE SHIELD |
Other names
- HERMISTON FAMILY MEDICINE AND URGENT CARE
Other providers in Hermiston, OR
- Jason Arthur Bremner
- Sarah Brock
- Amanda Whitney Brown
- Daniel A Brown
- Eric Scott Brown
- Stacy Brueckner
- Talen Brunson
- Daniel Scott Buck
- Ashley Buckingham
- Sheri Buckingham
All providers in Hermiston, OR · Health Service Clinic/Center in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.