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Individual

JOHN BISCHOFF CARPENTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
19000 33RD AVE W, STE 230, LYNNWOOD, WA 98036-4752
(425) 686-7138
(425) 745-4104
Mailing address
PO BOX 34888, SEATTLE, WA 98124-1888
(425) 977-4620
(425) 745-9836

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
80848
AZ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD 60139285
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0317315
LABOR AND INDUSTRIES
WA
05
2008051
WA
Enumeration date
03/17/2008
Last updated
06/30/2016
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