Healthcare Provider Details

I. General information

NPI: 1891358578
Provider Name (Legal Business Name): NATALIE REA CARTER DNP, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2019
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2650 NE COURTNEY DR
BEND OR
97701-7636
US

IV. Provider business mailing address

17737 PARKLAND LN # 11
SUNRIVER OR
97707-2694
US

V. Phone/Fax

Practice location:
  • Phone: 541-647-5221
  • Fax:
Mailing address:
  • Phone: 541-802-6509
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number10029706
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number201705415RN
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: