Individual
CARLA S SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3015 SQUALICUM PKWY STE 200, BELLINGHAM, WA 98225-1906
(360) 733-2092
(360) 788-6042
Mailing address
PO BOX 3649, SPOKANE, WA 99220-3649
(509) 838-2531
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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