Individual
TIMOTHY M CARLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12040 NE 128TH ST, KIRKLAND, WA 98034-3013
(425) 899-3181
(425) 899-3189
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD00023745
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0291407
L&I
WA
05
—
1295707149
—
WA
Enumeration date
02/06/2006
Last updated
11/02/2012
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