Individual
MICHAEL D CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1303 PACIFIC AVE, EVERETT, WA 98201-4234
(425) 258-3900
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 339-5476
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD00044891
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006024
—
WA
01
—
198515
LABOR & INDUSTRIES
—
05
—
8426975
—
WA
Enumeration date
07/19/2006
Last updated
11/21/2014
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