MEDICARE: CAROLINE O AGBETUNSIN 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
1	208000000X	Pediatrics Physician	11279	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740250836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINE O AGBETUNSIN MD

Provider Business Mailing Address
First Line	:	PO BOX 34703
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98124-1703
Country	:	US
Telephone Number	:	206-764-3335
Fax Number	:	206-764-0489

Provider Business Practice Location Address
First Line	:	7410 DELAWARE LN
Second Line	:	SEA-MAR COMMUNITY HEALTH CENTER
City	:	VANCOUVAR
State	:	WA
Zip	:	91664-1408
Country	:	US
Telephone Number	:	360-896-5128
Fax Number	:	360-896-5179

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2006
Last Update Date	:	02/13/2009

Similar Medicare Providers

1982608568 — DR. UMESH HANSRAJ GHEEWALA M.D.
Practice Location Address:

100 S SAN MATEO DR
SAN MATEO, CA
94401-3805

Practice Phone: 650-696-4758
Practice Fax: 650-404-8408

1942205497 — KUNDEL PEDIATRIC ASSOCIATES, PA
Practice Location Address:

1000 E 1ST ST , STE 204
DULUTH, MN
55805-2297

Practice Phone: 218-722-1408
Practice Fax: 218-722-3055

1114922754 — RAY L KUNDEL M.D.
Practice Location Address:

1000 E 1ST ST , STE 204
DULUTH, MN
55805-2297

Practice Phone: 218-722-1408
Practice Fax: 218-722-3055

1780680546 — DR. YATIN SHAH M.D.
Practice Location Address:

4050 DUBLIN BLVD
DUBLIN, CA
94568-3112

Practice Phone: 925-875-6100
Practice Fax:

1538166509 — DR. KHIN THIDA M.D.
Practice Location Address:

1408 CAMPBELL DR
IRONTON, OH
45638-2301

Practice Phone: 740-534-9195
Practice Fax: 740-534-9327

1699772566 — MARIA L KUNDEL M.D.
Practice Location Address:

1000 E 1ST ST , STE 204
DULUTH, MN
55805-2297

Practice Phone: 218-722-1408
Practice Fax: 218-722-3055

Directions to “ CAROLINE O AGBETUNSIN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.