Individual
MICHAEL CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-4405
(253) 861-9873
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60587359
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457760191
—
WA
Enumeration date
08/07/2014
Last updated
10/25/2016
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