Individual
LUCILLE CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
(503) 272-5210
Mailing address
2461 NE 51ST AVE, PORTLAND, OR 97213-2519
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
—
OR
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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