# DIABETES MANAGEMENT NORTHWEST PS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689787277
- **Authorized official:** KITTY L CARMICHAEL (ARNP)
- **Authorized official phone:** (360) 435-5365

## Contact information

- **Practice address:** 540 N WEST AVE, ARLINGTON, WA 98223-1251
- **Practice address phone:** (360) 435-5365
- **Practice address fax:** (360) 474-1394
- **Mailing address:** 540 N WEST AVE, ARLINGTON, WA 98223-1251
- **Mailing address phone:** (360) 435-5365
- **Mailing address fax:** (360) 474-1394

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 173000000X | Legal Medicine | RN00050644 | WA | Yes |

## Other

- **Enumeration date:** 08/16/2006
- **Last updated:** 08/22/2020