Provider Demographics
NPI:1477670362
Name:CARTER, PETER NORRE (LMP)
Entity Type:Individual
Prefix:MR
First Name:PETER
Middle Name:NORRE
Last Name:CARTER
Suffix:
Gender:M
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2661 BEL RED RD STE 207
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98008-2200
Mailing Address - Country:US
Mailing Address - Phone:425-985-2097
Mailing Address - Fax:
Practice Address - Street 1:2661 BEL RED RD STE 207
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98008-2200
Practice Address - Country:US
Practice Address - Phone:425-985-2097
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00010293174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist