Individual
CAROL A DOROSHOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4411 FREMONT AVE N, SEATTLE, WA 98103-7225
(206) 957-1881
(206) 957-1895
Mailing address
4411 FREMONT AVE N, SEATTLE, WA 98103-7225
(206) 957-1881
(206) 957-1895
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00020986
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1072255
—
WA
01
—
4215844
AETNA
WA
01
—
6585DO
REGENCE
WA
01
—
800274
FIRST HEALTH
WA
01
—
P594301
PREMERA
WA
Enumeration date
10/17/2006
Last updated
03/31/2020
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