Individual
NICOLE CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MN, CNS, CMSRN
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
1387 NE 17TH AVE, CANBY, OR 97013-2365
Taxonomy
Speciality
Code
Description
License number
State
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
201407480
OR
Other
Enumeration date
12/03/2014
Last updated
12/03/2014
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