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NPI Code Detail

MEDICARE: CARRIE STEPHENS CPHT-ADV

MEDICARE:   CARRIE  STEPHENS  CPHT-ADV
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
1172V00000XCommunity Health Worker
2183700000XPharmacy TechnicianVA60716700WA

General Provider Information

NPI Number : 1619818226
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARRIE STEPHENS CPHT-ADV
Provider Business Mailing Address
First Line : 2330 YEW ST
Second Line :
City : BELLINGHAM
State : WA
Zip : 98229-3942
Country : US
Telephone Number : 360-685-5012
Fax Number :
Provider Business Practice Location Address
First Line : 2330 YEW ST
Second Line :
City : BELLINGHAM
State : WA
Zip : 98229-3942
Country : US
Telephone Number : 360-685-5012
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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Directions to “ CARRIE STEPHENS CPHT-ADV” Practice Location

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