Individual
NICHOLAS EUGENE CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4311 11TH AVE NE, SUITE 200, SEATTLE, WA 98105-6366
(206) 616-4001
(206) 616-3889
Mailing address
4311 11TH AVE NE, SUITE 200, SEATTLE, WA 98105-6366
(206) 616-4001
(206) 616-3889
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60804467
WA
Other
Enumeration date
05/24/2016
Last updated
02/04/2019
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