Individual
PATRICK CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
65371 WA-14, WHITE SALMON, WA 98672
(206) 616-4001
Mailing address
65371 WA-14, WHITE SALMON, WA 98672
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.PA.61344856
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/30/2021
Last updated
09/22/2022
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