Individual
CAROL E WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 OLIVE WAY, MS:M4-PA, SEATTLE, WA 98101-1873
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00025641
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039515
L&I
WA
01
—
5531WI
INDIVIDUAL BLUE SHIELD
WA
01
—
MD1408W
ALASKA MEDICAID
WA
Enumeration date
02/22/2006
Last updated
04/08/2008
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