Healthcare Provider Details

I. General information

NPI: 1306998273
Provider Name (Legal Business Name): CARRIE ELIZABETH SYLVESTER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CARRIE ELIZABETH MCKEE MD

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 10/21/2022
Certification Date: 10/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 NE PARK PLAZA DR STE 145
VANCOUVER WA
98684-5873
US

IV. Provider business mailing address

11000 LAKE CITY WAY NE COMMUNITY PSYCHIATRIC CENTER
SEATTLE WA
98125-6748
US

V. Phone/Fax

Practice location:
  • Phone: 360-729-8383
  • Fax: 360-729-3534
Mailing address:
  • Phone: 206-461-3614
  • Fax: 206-634-3596

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberMD00012782
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD00012782
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: