IndividualActive
Bruce Carter, LMT
NPI 1699131334 · Specialist · Gresham, OR
Provider details
- NPI number
- 1699131334
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- No
- License
- 19488 (OR)
Specialties & taxonomies
Other Service Providers
Practice location
1748 Nw Fairview Dr
Gresham, OR 97030-3842
Phone: (503) 492-3910
Approximate (ZIP-level) locationGet directions
Mailing address
1748 Nw Fairview Dr
Gresham, OR 97030-3842
Registry dates
- Enumerated
- 2016-01-11
- Last updated
- 2016-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.