Individual
KAREN M CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
273 SUSSEX AVE E, TENINO, WA 98589-9359
(360) 264-5665
(360) 264-5666
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(360) 413-4200
(360) 413-4225
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30004220
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9635285
—
WA
Enumeration date
11/01/2006
Last updated
05/03/2021
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