BRUCE CARTER (NPI# 1699131334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699131334 |
| Entity Type | Individual |
| Full Name | BRUCE CARTER |
| Credential | LMT |
| Practice Address |
1748 Nw Fairview Dr Gresham OR 97030-3842 |
| Practice Telephone | 5034923910 |
| Mailing Telephone | 5034923910 |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2016-01-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 19488 | OR | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 19488 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629101175 | Bruce Tolbert Carter | Dentist | 125 E Stowell Rd Ste 101, Santa Maria, CA 93454-6681 | 2007-03-13 |
| 1245333434 | Bruce H Carter | Dentist | 332 Dutton Ave, San Leandro, CA 94577-2806 | 2006-09-06 |
| 1972510113 | Bruce Thomas Carter | Ophthalmology | 1101 E Jefferson Street, Suite 3, Charlottesville, VA 22901 | 2006-08-01 |
| 1801889415 | Bruce Edward Carter | Dentist | 751 Old Norcross Rd, Lawrenceville, GA 30045-4317 | 2005-08-30 |
| 1477555399 | Bruce C Carter | Ophthalmology | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2005-08-11 |
| 1225198799 | Bruce M Carter | Anesthesiology | 1490 E Foremaster Dr, Bldg C, St George, UT 84790-4488 | 2006-12-12 |
| 1366457244 | Bruce Carter | Plastic Surgery | 875 Oak St Se, Ste 4060, Salem, OR 97301 | 2006-07-29 |
| 1548249105 | Bruce C Carter | Radiology | 627 Turtle Creek Dr, Tyler, TX 75701-1832 | 2006-01-12 |
| Street Address |
1748 NW FAIRVIEW DR |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-3842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811098056 | Marie H Mason | Chiropractor | 1748 Nw Fairview Dr, Gresham, OR 97030-3842 | 2006-09-26 |
| 1942808720 | Rachel Owens | Massage Therapist | 1748 Nw Fairview Dr, Gresham, OR 97030-3842 | 2020-10-13 |
| 1770142986 | David Hotchkiss | Specialist/Technologist, Other | 1748 Nw Fairview Dr, Gresham, OR 97030-3842 | 2019-06-11 |
| 1720642614 | Cole Hoard | Specialist | 1748 Nw Fairview Dr, Gresham, OR 97030-3842 | 2019-04-25 |
| 1114483153 | Kyle Paladeni | Specialist | 1748 Nw Fairview Dr, Gresham, OR 97030-3842 | 2019-02-14 |
| 1982146858 | Cheryl Higgins | Massage Therapist | 1748 Nw Fairview Dr, Gresham, OR 97030 | 2016-11-09 |
| 1073065017 | Fannie Phillips | Specialist | 1748 Nw Fairview Dr, Gresham, OR 97030-3842 | 2016-10-25 |
| 1295182848 | Gresham Therapeutic Massage Center | Public Health or Welfare | 1748 Nw Fairview Dr, Gresham, OR 97030-3842 | 2016-05-24 |
| 1205206497 | Gresham Therapeutic Massage Center | Home Health | 1748 Nw Fairview Dr, Gresham, OR 97030-3842 | 2015-09-30 |
| 1336519529 | Gresham Therapeutic Massage Center | Home Health | 1748 Nw Fairview Dr, Gresham, OR 97030-3842 | 2015-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639727795 | Christina Bellmore | Specialist | 1748 Nw Fairview Dr # A, Gresham, OR 97030-3842 | 2019-08-30 |
| 1952795494 | Angela Goble | Specialist | 4010 Sw 14th Dr, Gresham, OR 97080-8373 | 2015-03-23 |
| 1568869097 | Michelle Meadow | Specialist | 124 Sw 6th Ct, Gresham, OR 97080-9390 | 2014-11-26 |
| 1235534504 | Lisa Barrow | Specialist | 1277 Ne 14th Ln, Gresham, OR 97030-4218 | 2014-10-29 |
| 1962828848 | Colleen Duncan | Specialist | 223 E Powell Blvd, Gresham, OR 97030-7605 | 2014-03-14 |
| 1558657049 | Zara Michelle Parker | Specialist | 4170 Ne El Camino Dr, Gresham, OR 97030-1749 | 2011-06-22 |
| 1194942920 | Salomeia Stan | Specialist | 655 Nw Burnside Rd, Suite 6, Gresham, OR 97030-3745 | 2007-04-20 |
| 1528198306 | Kimberly Anne Fuller | Specialist | 1217 Ne Burnside Rd Ste 502, Gresham, OR 97030-5770 | 2007-03-07 |
| 1114066214 | Amber Buxton | Specialist | 22011 Se Oak St, Gresham, OR 97030-8509 | 2007-02-05 |
| 1437217478 | Kendall Kay-lynn Hutchinson | Specialist | 231 N Main Ave, Gresham, OR 97030-7207 | 2006-12-04 |
| Find all providers in GRESHAM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.