MR. MARK FREDERICK CARLSON (NPI# 1265661243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265661243 |
| Entity Type | Individual |
| Full Name | MR. MARK FREDERICK CARLSON |
| Credential | M.S., CCC-SLP |
| Practice Address |
1603 Ne 52nd Ave Portland OR 97213-2725 |
| Practice Telephone | 5039220768 |
| Practice Fax Number | 5039145545 |
| Mailing Telephone | 5039220768 |
| Mailing Fax Number | 5039145545 |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2009-07-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 235Z00000X | Speech-Language Pathologist | LL00004701 | WA | Speech, Language and Hearing Service Providers |
| Y | 235Z00000X | Speech-Language Pathologist | 12024 | OR | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861935082 | Mark Andrew Carlson | Contractor | 29822 Windwood Cir, Temecula, CA 92591-2807 | 2016-11-19 |
| 1205095759 | Mark Kent Carlson | Chiropractor | 9437 Ironwood Dr, Frisco, TX 75034-1254 | 2008-06-09 |
| 1851449318 | Mark A. Carlson | Family Medicine | 1400 E. Kincade Street, Mount Vernon, WA 98274-4127 | 2007-01-08 |
| 1184736498 | Mark D Carlson | Internal Medicine | 2401 S Tucker Ave Ste 1, Pittsburg, KS 66762-6619 | 2006-08-31 |
| 1790741049 | Mark Edwin Carlson | Specialist | 1848 Daimler Rd, Rockford, IL 61112-1019 | 2006-04-25 |
| 1083670780 | Mark David Carlson | Dentist | 1550 South Union Avenue, Suite 250, Tacoma, WA 98405-1946 | 2006-04-22 |
| 1609837368 | Mark O. Carlson | Internal Medicine | 1605 Douglas St, Sioux City, IA 51105-1109 | 2006-03-31 |
| 1023008398 | Mark D Carlson | Family Medicine | 1905 S Lakeline Blvd Ste 4, Cedar Park, TX 78613 | 2005-10-26 |
| 1801437694 | Mark Carlson | Chiropractor | 2377 Cumberland Square Dr, Bettendorf, IA 52722-3251 | 2019-10-02 |
| 1073887444 | Mark Anthony Carlson | Pharmacist | 66 Birdsong Pkwy, Orchard Park, NY 14127-3068 | 2012-03-02 |
| Street Address |
1603 NE 52ND AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97213-2725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831715176 | Darnell Jackie Strong | Social Worker | 435 Ne 78th Ave 'strong Counseling Services', Portland, OR 97213 | 2020-06-23 |
| 1336775907 | Redpoint Physical Therapy and Performance LLC | Physical Therapist | 4200 Ne Flanders St Unit B, Portland, OR 97213 | 2020-03-16 |
| 1801431218 | Denise Dorgan-miller | Occupational Therapy Assistant | Providence Elder Place, 4400 Ne Halsey Suite 200, Portland, OR 97213 | 2019-11-08 |
| 1619435617 | Aspiration of Character Counseling Services, LLC | Counselor | 4424 Ne Glisan St, The Li Wellness Building, Second Floor, Portland, OR 97213 | 2019-03-08 |
| 1578049631 | Credena Health LLC | Pharmacy | 4805 Ne Glisan St Ste 11n321, Portland, OR 97213 | 2018-07-12 |
| 1023507795 | Karissa Lynn Schwartz | Speech-Language Pathologist | Providence Portland Medical Center, 4805 Ne Glisan St, Portland, OR 97213 | 2018-05-08 |
| 1861944506 | James Livingston Taylor | Chiropractor | 5212 Ne Sacremento St., Portland, OR 97213 | 2016-10-28 |
| 1962958520 | Caitlin Turner | Massage Therapist | 4317 Ne Tillamook St., Portland, OR 97213 | 2016-09-01 |
| 1326407008 | Julianna Vermeys | Counselor | 4605 Ne Fremont St., 209a, Portland, OR 97213 | 2016-02-23 |
| 1881059822 | Thomas Michael Barrett | Counselor | 5228 Ne Hoyt St. Bldg. B, Portland, OR 97213 | 2015-12-17 |
| Find all providers in zip 97213 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407456429 | Alexander Emile Burday | Speech-Language Pathologist | 9001 Nw Skyline Blvd, Portland, OR 97231-2623 | 2020-10-28 |
| 1710585963 | Beech Street Speech and Language LLC | Speech-Language Pathologist | 5724 Ne Beech St, Portland, OR 97213-3257 | 2020-10-10 |
| 1881209245 | Adult Speech Therapy Solutions, LLC | Speech-Language Pathologist | 5900 N Albina Ave Apt 3, Portland, OR 97217-2289 | 2020-09-12 |
| 1255946067 | In Reach Speech-language Therapy LLC | Speech-Language Pathologist | 1246 Sw Falcon St, Portland, OR 97219-4341 | 2020-09-09 |
| 1205453271 | Speak Read Write | Speech-Language Pathologist | 1714 Nw 32nd Ave, Portland, OR 97210-1910 | 2020-06-25 |
| 1033732888 | Emma Towne | Speech-Language Pathologist | 3840 Se Center St, Portland, OR 97202-3209 | 2020-05-27 |
| 1922628106 | Kimberly Lynn Dahl | Speech-Language Pathologist | 3303 Sw Bond Ave Fl Chh1, Portland, OR 97239-4501 | 2020-04-17 |
| 1316581358 | Kristin Shea Nyboer | Speech-Language Pathologist | 7065 Sw 92nd Ave, Portland, OR 97223-7124 | 2019-11-02 |
| 1538701024 | Susan Ashbury | Speech-Language Pathologist | 7311 N Lancaster Ave, Portland, OR 97217-5637 | 2019-10-16 |
| 1396393401 | Speechease Travel Therapy | Speech-Language Pathologist | 1535 Sw Clay St Apt 303, Portland, OR 97201-6126 | 2019-09-01 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.