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NPI Code Detail

MEDICARE: CARSON JAMES WHEATON

MEDICARE: CARSON JAMES WHEATON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1780518795
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARSON JAMES WHEATON
Provider Business Mailing Address
First Line : PO BOX 8459
Second Line :
City : PORTLAND
State : OR
Zip : 97207-8459
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 304 PEARL ST
Second Line :
City : OREGON CITY
State : OR
Zip : 97045-2684
Country : US
Telephone Number : 503-657-9889
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2026
Last Update Date : 06/12/2026

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Directions to “ CARSON JAMES WHEATON ” Practice Location

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