Individual
MARILYNN ELIZABETH CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5601 NE 55TH AVE, VANCOUVER, WA 98661-7800
(360) 735-9998
Mailing address
5601 NE 55TH AVE, VANCOUVER, WA 98661-7800
(360) 735-9998
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00177479
WA
376K00000X
Nurse's Aide
NC10090039
WA
Other
Enumeration date
05/02/2008
Last updated
05/02/2008
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