Individual
JULIE HAWKINS CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7772
Mailing address
621 SE SAINT ANDREWS DR, PORTLAND, OR 97202-9015
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
000031170N3
OR
363LA2200X
Adult Health Nurse Practitioner
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267682
—
OR
Enumeration date
11/08/2006
Last updated
07/08/2007
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