Healthcare Provider Details

I. General information

NPI: 1184227027
Provider Name (Legal Business Name): CAREY ANN THOMPSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/20/2020
Last Update Date: 11/20/2020
Certification Date: 11/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3921 STONE WAY N
SEATTLE WA
98103-8017
US

IV. Provider business mailing address

3921 STONE WAY N
SEATTLE WA
98103-8017
US

V. Phone/Fax

Practice location:
  • Phone: 206-383-0545
  • Fax:
Mailing address:
  • Phone: 206-383-0545
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246Z00000X
TaxonomyOther Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: