Individual
CARLA S SMITH
Active
Individual
CARLA S SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD00041445
WA
207X00000X
Orthopaedic Surgery Physician
Primary
MD24615
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
806522700
ID MEDICAID
WA
01
—
8200SM
ASURIS
WA
01
—
8329633
DSHS
WA
01
—
P00613589
RR MEDICARE
WA
Enumeration date
06/22/2005
Last updated
11/17/2021
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