Individual
DR. SANDRA CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
600 RANCH RD, REEDSPORT, OR 97467-1720
(541) 271-2119
(541) 271-9338
Mailing address
600 RANCH RD, REEDSPORT, OR 97467-1720
(541) 271-2119
(541) 271-9338
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
05-31742
KS
207R00000X
Internal Medicine Physician
2004004157
MO
207R00000X
Internal Medicine Physician
Primary
DO153439
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208976001
—
MO
01
—
2197141
FIRST HEALTH
—
01
—
33737014
BCBS
—
01
—
7620522
AETNA
—
01
—
P00162661
RR MCR
MO
Enumeration date
08/24/2005
Last updated
03/01/2011
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