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Individual

MATTHEW CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
325 N LOCUST ST, SISTERS, OR 97759-5047
(541) 549-3534
(541) 549-1272
Mailing address
PO BOX 1911, SISTERS, OR 97759-1911
(541) 549-3534
(541) 549-1272

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62131
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PT-4880
PHYSICAL THERAPY LICENSE
ID
Enumeration date
11/14/2016
Last updated
09/11/2023
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