Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | MD13431 | OR |
NPI | 1003814799 |
---|---|
Provider Name | Dr. Christopher R Carter |
First Address | Portland, OR 97232-2684 |
Second Address | Portland, OR 97225-6772 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2005 |
Last Update Date | 21/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
283846 | (05) | OR |
8493009 | (05) | WA |
C94174 | (02) | OR |