Individual
NATASHA FEWKES CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4914 SW 1ST AVE, PORTLAND, OR 97239-2883
(310) 701-8274
Mailing address
P.O.BOX 232410, SAN DIEGO, CA 92193-2410
(858) 657-8322
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A140912
CA
Other
Enumeration date
04/16/2014
Last updated
10/23/2024
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