Individual
JOHN DAVID CARLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
(360) 814-6880
(360) 814-6885
Mailing address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
(360) 428-2500
(360) 428-6485
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
OA60902560
WA
363AM0700X
Medical Physician Assistant
Primary
PA60229693
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
399056
LABOR & INDUSTRIES
WA
Enumeration date
10/26/2015
Last updated
06/22/2021
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