Organization
PREMIER WOUND HEALING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE CARTER MD (OWNER)
(541) 280-6201
Entity
Organization
Contact information
Practice address
320 SW CENTURY DR STE 405-392, BEND, OR 97702-3037
(541) 280-6201
(541) 280-6201
Mailing address
13709 210TH ST E, GRAHAM, WA 98338-6625
(541) 280-6201
(877) 684-8059
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
—
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
02/16/2023
Last updated
03/28/2024
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