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NPI Code Detail

MEDICARE: KAREN WENDI SHARPE MD

MEDICARE: KAREN WENDI SHARPE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianMD60311894WA

General Provider Information

NPI Number : 1396702759
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN WENDI SHARPE MD
Provider Business Mailing Address
First Line : 16811 SE MCGILLIVRAY BLVD
Second Line :
City : VANCOUVER
State : WA
Zip : 98683-3404
Country : US
Telephone Number : 360-735-8100
Fax Number : 360-253-1781
Provider Business Practice Location Address
First Line : 16811 SE MCGILLIVRAY BLVD
Second Line :
City : VANCOUVER
State : WA
Zip : 98683-3404
Country : US
Telephone Number : 360-735-8100
Fax Number : 360-253-1781
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2006
Last Update Date : 11/19/2012

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Directions to “ KAREN WENDI SHARPE MD” Practice Location

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