Individual
JILL ANN CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP, FNP
Contact information
Practice address
6400 SE LAKE RD STE 155, PORTLAND, OR 97222-2137
(503) 447-3285
(503) 917-4971
Mailing address
6400 SE LAKE RD STE 155, PORTLAND, OR 97222-2137
(971) 358-9292
(503) 917-4971
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
096000794RN
OR
163W00000X
Registered Nurse
RN00129629
WA
363LF0000X
Family Nurse Practitioner
201392160NP-PP
OR
363LF0000X
Family Nurse Practitioner
AP60411729
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201392160NP-PP
OR
Other
Enumeration date
09/11/2013
Last updated
02/05/2026
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