Healthcare Provider Details

I. General information

NPI: 1437061256
Provider Name (Legal Business Name): CIARA NOELLE CARBONE DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

919 HIGHLAND AVE
CLARKSTON WA
99403-2762
US

IV. Provider business mailing address

919 HIGHLAND AVE
CLARKSTON WA
99403-2762
US

V. Phone/Fax

Practice location:
  • Phone: 509-758-9214
  • Fax: 509-758-9267
Mailing address:
  • Phone: 509-758-9214
  • Fax: 509-758-9267

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHIR.CH.70142340
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: