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Carter Lake, PT

NPI 1427113331 · on the registry since 2006

Practice

Address
1020 S Main St
Milton Freewater, OR 97862
Phone
(509) 588-2924
Fax
(509) 588-4564

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-10-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon