Individual
MRS. CAROLINA KATO SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1615 DELAWARE ST, LONGVIEW, WA 98632-2367
(360) 414-2000
(360) 414-7638
Mailing address
1615 DELAWARE ST, LONGVIEW, WA 98632-2367
(360) 414-2000
(360) 414-7638
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00049090
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104319419
—
MI
05
—
1054829
—
WA
Enumeration date
09/14/2005
Last updated
04/13/2015
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