Organization
NW HEADACHE AND WELLNESS INSTITUTE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALE M CARTER MD (PRESIDENT)
(503) 601-0300
Entity
Organization
Contact information
Practice address
11786 SW BARNES RD BLDG D, STE 140, PORTLAND, OR 97225-5925
(503) 601-0300
(503) 601-0304
Mailing address
11786 SW BARNES RD BLDG D, STE 140, PORTLAND, OR 97225-5925
(503) 601-0300
(503) 601-0304
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
02/06/2009
Last updated
09/24/2009
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