Individual
MR. CARTER BLUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
18200 S CLEAR ACRES DR, OREGON CITY, OR 97045-9280
(503) 899-0472
Mailing address
120 S ELLIOTT RD, NEWBERG, OR 97132-2183
(503) 899-0472
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00435
OR
Other
Enumeration date
10/20/2014
Last updated
11/17/2019
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