Carter, Bruce
Carter, Bruce is an individual health care provider with primary practice located at 1748 Nw Fairview Dr , Gresham OR 97030-3842. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Carter, Bruce can be contacted via phone (503) 492-3910.Contact Information
Primary practice address
1748 Nw Fairview Dr
Gresham OR 97030-3842
Phone: (503) 492-3910
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 19488 | Oregon |
Profile Details
| NPI number | 1699131334 |
|---|---|
| LBN Legal business name | Carter, Bruce |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2016 |
| Last updated | Jan 11th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699131334 | NPPES |
| Oregon | MEDICAID | 19488 |
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