Individual
CAROL H HUNGERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
11019 CANYON RD E, PUYALLUP, WA 98373-3001
(425) 259-0966
Mailing address
1145 BROADWAY, SEATTLE, WA 98122-4201
(206) 860-5414
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1733
NE
207Q00000X
Family Medicine Physician
DO2832
NV
207Q00000X
Family Medicine Physician
Primary
OP61483214
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134578222
—
NV
01
—
DO2832
STATE LICENSE
NV
Enumeration date
06/08/2016
Last updated
12/07/2023
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