Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1952332702 Individual Practitioner Male Practitioner

Dr. Kenneth Michael Carlson , MD

Pediatrics • Woodburn, OR

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Carlson, MD is a registered healthcare professional specializing in Pediatrics in Woodburn, OR. Practice services are available at 1475 MOUNT HOOD AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1475 Mount Hood Ave

Woodburn, OR 970719099

Telephone 5039811509
Associated Practice Facility / Clinic
🏢 Silverton Health Facility NPI 1871652198

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Woodburn, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 20.9 Yrs
Regional Practice Density
10 Specialists

Practicing in Woodburn, OR (880 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-05-08
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License OR MD22868

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
287244 (OR)

Secondary Practice Locations

891 23rd St Ne

Salem, OR 973011793

Phone: 5033642181

121 Se Viewmont Ave

Corvallis, OR 973331968

Phone: 5417663546

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

36 Associated Practitioners
NPI 1023460946

Master of Social Work, Licensed Clinical Social Worker

Jocelyn Bylsma , MPT

Physical Therapist

NPI 1033416755

Master of Physical Therapy

Roopa Pandit

Pediatrics

NPI 1043690993
Alfonso Capuras , APRN

Nurse Practitioner - Adult Health

NPI 1083096507

Advanced Practice Registered Nurse

Ashley Holmes

Nurse Practitioner

NPI 1114494291
Kathleen Carty , LMT

Massage Therapist

NPI 1205057601

Licensed Massage Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location May 08, 2024

Registered at 1475 MOUNT HOOD AVE, WOODBURN, OR 970719099 (Tel: 5039811509)

📍
Updated Business Mailing Address May 08, 2024

Registered at 1475 MOUNT HOOD AVE, WOODBURN, OR 970719099 (Tel: 5039820626)

📍
Updated Practice Location August 30, 2021

Registered at 121 SE VIEWMONT AVE, CORVALLIS, OR 973331968 (Tel: 5417663546)

📍
Updated Business Mailing Address August 30, 2021

Registered at 2323 TWINBERRY AVE SE, SALEM, OR 973061169 (Tel: 5033717641)

NPI Profile Active August 18, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location August 18, 2011

Registered at 891 23RD ST NE, SALEM, OR 973011793 (Tel: 5033642181)

📍
Updated Business Mailing Address August 18, 2011

Registered at 891 23RD ST NE, SALEM, OR 973011793 (Tel: 5033642181)

👤
Provider Name / Credentials Updated August 18, 2011

Recorded as KENNETH CARLSON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2011

Pediatrics (License #MD22868 in OR)

🟢
Initial NPI Registration & Enumeration July 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1952332702
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 06, 2006
Last Update: May 08, 2024
Sole Proprietor: No

Mailing Address

1475 Mount Hood Ave

Woodburn, OR 970719099

Phone: 5039820626

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.