Thomas J Carlsen
Sports Medicine Doctor
2200 Ne Neff Rd Ste 200
Bend
, Oregon 97701-4281
Thomas J Carlsen
Sports Medicine Doctor
2200 Ne Neff Rd Ste 200
Bend
, Oregon 97701-4281
(541) 382-1681
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About
Features
Specialties
- Sports Medicine Doctor
Languages spoken
- English
Location
First Address
- Thomas J Carlsen
- 2200 Ne Neff Rd Ste 200
- Bend, OR
- Zip : 97701-4281
- Fax : (541) 382-1681
- Phone : (541) 382-3344
Second Address
- Thomas J Carlsen
- 2200 Ne Neff Rd Ste 200
- Bend, OR
- Zip : 97701-4281
- Fax : (541) 382-1681
- Phone : (541) 382-3344
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204C00000X | Sports Medicine Doctor | MD12666 | OR |
National Provider Identifier
| NPI | 1962407585 |
|---|---|
| Provider Name | Thomas J Carlsen |
| First Address | Bend, OR 97701-4281 |
| Second Address | Bend, OR 97701-4281 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/06/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 232504 | (05) | OR |
| C92356 | (02) | |
| MD12666 | OBME (01) | OR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.