Provider Demographics
NPI:1124491725
Name:CARTER, GABRIELLE (ND)
Entity type:Individual
Prefix:DR
First Name:GABRIELLE
Middle Name:
Last Name:CARTER
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6125 28TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-1309
Mailing Address - Country:US
Mailing Address - Phone:503-593-9124
Mailing Address - Fax:253-432-4050
Practice Address - Street 1:7901 SKANSIE AVE STE 105
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-7497
Practice Address - Country:US
Practice Address - Phone:253-345-1361
Practice Address - Fax:253-432-4050
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-04
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3015175F00000X, 175L00000X
WANT60762307175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No175L00000XOther Service ProvidersHomeopath