Healthcare Provider Details

I. General information

NPI: 1790780401
Provider Name (Legal Business Name): CAROLYN ANNE FRANCIS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2005
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1135 116TH AVE NE STE 450
BELLEVUE WA
98004-4623
US

IV. Provider business mailing address

1035 116TH AVE NE
BELLEVUE WA
98004-4604
US

V. Phone/Fax

Practice location:
  • Phone: 425-289-3130
  • Fax:
Mailing address:
  • Phone: 425-289-3130
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA.PA.7077429
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number152812
License Number StateOR
# 3
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberPA152812
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: