Healthcare Provider Details

I. General information

NPI: 1972418036
Provider Name (Legal Business Name): CHARLOTTE ANN ASHERWOOD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6712 103RD STREET CT NW
GIG HARBOR WA
98332-8534
US

IV. Provider business mailing address

6712 103RD STREET CT NW
GIG HARBOR WA
98332-8534
US

V. Phone/Fax

Practice location:
  • Phone: 808-854-9085
  • Fax:
Mailing address:
  • Phone: 808-854-9085
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License NumberFHS-XR9F-6J7H-WLJP
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberMCH-V53X-47DJ-JQHR
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: