Individual
DR. CARRIE NICOLE CARUTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2525 NE 139TH ST, SUITE 210, VANCOUVER, WA 98686
(360) 882-2778
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 882-2778
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD60647806
WA
207R00000X
Internal Medicine Physician
MD60647806
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2106171
—
LA
Enumeration date
04/26/2010
Last updated
08/02/2018
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