MEDICARE: CARENA

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
1	171W00000X	Contractor

General Provider Information

NPI Number	:	1447436621
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARENA

Provider Business Mailing Address
First Line	:	1601 5TH AVE
Second Line	:	SUITE 830
City	:	SEATTLE
State	:	WA
Zip	:	98101-3621
Country	:	US
Telephone Number	:	206-624-6050
Fax Number	:	206-623-7674

Provider Business Practice Location Address
First Line	:	5400 CALIFORNIA AVE SW
Second Line	:	SUITE D
City	:	SEATTLE
State	:	WA
Zip	:	98136-1501
Country	:	US
Telephone Number	:	206-932-9025
Fax Number	:	206-932-1929

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	RACHEL J COUWENBERG
Credential	:
Telephone Number	:	206-932-9025

Provider Enumeration Date	:	01/17/2008
Last Update Date	:	01/17/2008

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Directions to “CARENA ” Practice Location

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