Provider Demographics
NPI:1376883728
Name:CARTER, HALSY JAMES (DC)
Entity Type:Individual
Prefix:DR
First Name:HALSY
Middle Name:JAMES
Last Name:CARTER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12700SWNORTH DAKOTA ST 180
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97223-0802
Mailing Address - Country:US
Mailing Address - Phone:503-716-8281
Mailing Address - Fax:503-716-8783
Practice Address - Street 1:12700SWNORTH DAKOTA ST 180
Practice Address - Street 2:
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223-0802
Practice Address - Country:US
Practice Address - Phone:503-716-8281
Practice Address - Fax:503-716-8783
Is Sole Proprietor?:No
Enumeration Date:2013-02-21
Last Update Date:2015-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR5126111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR5126OtherCHIROPRACTIC LICENSE