Individual
INGRID A CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10330 MERIDIAN AVE N, SUITE 370, SEATTLE, WA 98133-9451
(206) 528-6000
(206) 528-0014
Mailing address
PO BOX 6989, MSC 18913, PORTLAND, OR 97228-6989
(206) 858-7000
(206) 858-7050
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
38803
CO
207W00000X
Ophthalmology Physician
Primary
MD60494692
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54902541
—
CO
Enumeration date
05/23/2006
Last updated
02/29/2016
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