CORY VERNON CARLSTON


Address: 10000 Se Main St Ste 224, Portland, OR 97216-2469
Phone: 5032616961

CORY VERNON CARLSTON (NPI# 1003121849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003121849
Entity Type Individual
Full Name CORY VERNON CARLSTON
Credential M.D.
Practice Address 10000 Se Main St Ste 224
Portland
OR 97216-2469
Practice Telephone 5032616961
Practice Fax Number 5032616959
Mailing Telephone 5032616961
Enumeration Date 2010-08-17
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207X00000X Orthopaedic Surgery 61265 MN Allopathic & Osteopathic Physicians
N 207X00000X Orthopaedic Surgery A111936 CA Allopathic & Osteopathic Physicians
Y 207XS0106X Orthopaedic Surgery
Specialization: Hand Surgery
MD182611 OR Allopathic & Osteopathic Physicians
N 207XS0106X Orthopaedic Surgery
Specialization: Hand Surgery
MD2014-0487 NM Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program NM Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
640 Jackson St, Saint Paul, MN 551012502 6512542005 6512541519

Office Location

Street Address 10000 SE MAIN ST STE 224
City PORTLAND
State OR
Zip Code 97216-2469

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437174489 Andrea J Young Orthopaedic Surgery 10000 Se Main St Ste 224, Portland, OR 97216-2469 2006-07-12
1639688708 Wesley Wenzel Physician Assistant 10000 Se Main St Ste 224, Portland, OR 97216-2469 2017-09-21
1578982567 Elizabeth Gray Lieberman Orthopaedic Surgery 10000 Se Main St Ste 224, Portland, OR 97216-2469 2014-04-07
1558797365 Joseph Province Physician Assistant 10000 Se Main St Ste 224, Portland, OR 97216-2469 2013-09-25
1558533273 Adam Parks Baker Orthopaedic Surgery 10000 Se Main St Ste 224, Portland, OR 97216-2469 2008-04-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316468341 Accident Care Chiropractic and Massage of Salem Clinic/Center 2168 Lancaster Dr. Ne, Portland, OR 97216 2017-06-29
1528508520 Damone Brown Peer Specialist 10209 Se Washington St, Suite D, Portland, OR 97216 2017-02-24
1861937237 Malachai Investments LLC Clinical Medical Laboratory 10,000 Se Main St, Ste 360, Portland, OR 97216 2016-12-21
1881136836 Krista Marie Darnell Occupational Therapy Assistant 1475, Se 100th Avenue, Portland, OR 97216 2016-11-08
1821456559 Sean Kelly Counselor 10564 Se Washington Street, Portland, OR 97216 2016-02-09
1174908321 Phil Bergland Counselor 11220 Se Stark St, Suite 6, Portland, OR 97216 2015-07-29
1134507346 Beth Lopez Massage Therapist 5814 Se Stark Street, Portland, OR 97216 2015-05-08
1982081477 Amelia C Hunt Counselor 10564 Se Washinton Street, Portland, OR 97216 2015-05-04
1073907978 Karen Ta Emergency Medicine 10300 Se Main St, Portland, OR 97216 2015-03-27
1265823298 Laura Catherine Anderson Occupational Therapist 1475 Se 100th Avenue, Portland, OR 97216 2015-02-12
Find all providers in zip 97216

Taxonomy Information

Taxonomy Code 207XS0106X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Hand Surgery

Taxonomy Definition

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477784791 C.todd Woolley Md PC Orthopaedic Surgery 2222 Nw Lovejoy St Ste 401, Portland, OR 97210-5102 2009-08-04
1306130398 Youssra Marjoua Orthopaedic Surgery 33 Sewall St, Portland, ME 04102-2603 2011-06-07
1801125521 Lucie Krenek Orthopaedic Surgery 3500 N Interstate Ave, Portland, OR 97227-1196 2009-12-08
1326168261 Gary Kegel Orthopaedic Surgery 3181 Sw Sam Jackson Park Rd, Oregon Health and Sciences, Dept. of Orthopaedics, Portland, OR 97239-3011 2007-03-31
1063575355 Kathryn Heidi Hanna Orthopaedic Surgery 33 Sewall St, Portland, ME 04102 2006-12-18
1619080595 Wendy M Hughes Orthopaedic Surgery 3710 Sw Us Veterans Hospital Rd, Portland Va Medical Center -- P3pl, Portland, OR 97239-2964 2006-08-16
1285656025 Mark James Buehler Orthopaedic Surgery 5050 Ne Hoyt, Ste 660, Portland, OR 97213-2990 2006-07-24
1144292152 Jerry E Nye Orthopaedic Surgery 2222 Nw Lovejoy, Ste 401, Portland, OR 97210 2006-02-03
1790785624 John T Chance Orthopaedic Surgery 33 Sewall St, Portland, ME 04102-2603 2005-07-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1013912591 James R. Verheyden Orthopaedic Surgery 2200 Ne Neff Rd., Ste. 200, Bend, OR 97701 2005-06-20
1831192749 David M Appleby Orthopaedic Surgery 702 Sw Ramsey #112, Grants Pass, OR 97527-5859 2005-05-24
1740842467 Craig T Gillis Do PC Orthopaedic Surgery 4103 Mercantile Dr, Lake Oswego, OR 97035-2556 2019-07-02
1356784847 Christopher William Healy Orthopaedic Surgery 2200 Ne Neff Rd Ste 200, Bend, OR 97701 2013-04-15
1053669606 Upper Hand Orthopaedics, P.C. Orthopaedic Surgery 2797 Nw 9th St, Corvallis, OR 97330-3857 2012-08-29
1104184415 Aaron Isamu Karlen Orthopaedic Surgery 1600 State St, Salem, OR 97301 2012-04-25
1336406354 Willamette Orthopedic Group LLC Orthopaedic Surgery 607 Se Jefferson St, Dallas, OR 97338 2012-04-16
1588955314 Willamette Orthopedic Group LLC Orthopaedic Surgery 1600 State St, Salem, OR 97301-4257 2011-04-27
1639306723 Jenna Godfrey Orthopaedic Surgery 55 Coburg Rd, Eugene, OR 97401-2433 2009-06-16
1053551697 Mid-columbia Medical Center Orthopaedic Surgery 551 Lone Pine Blvd, The Dalles, OR 97058 2009-02-23
Find all providers with the same taxonomy

Competitor

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City PORTLAND
Zip Code 97216

Improve Information

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Dataset Information

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.

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