AMANDA LYNN CARLSON MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****19

NOT RENEWED

N

MD

AMANDA

LYNN

CARLSON

AMANDA LYNN CARLSON MD

10/21/2021

10/21/2021

07/31/2023

PORTLAND

OR

97227

PRACTITIONER

II III IV V

N

11/30/2023