Healthcare Provider Details

I. General information

NPI: 1124491725
Provider Name (Legal Business Name): GABRIELLE CARTER ND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/04/2015
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 CLARK PL SE
TUMWATER WA
98501-4062
US

IV. Provider business mailing address

205 CLARK PL SE
TUMWATER WA
98501-4062
US

V. Phone/Fax

Practice location:
  • Phone: 360-507-0401
  • Fax: 360-570-2060
Mailing address:
  • Phone: 360-507-0401
  • Fax: 360-570-2060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNT60762307
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code175L00000X
TaxonomyHomeopath
License NumberNT60762307
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: