Individual
CAROLYN JEAN SHOEMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1433 5TH ST, CLARKSTON, WA 99403-2714
(509) 758-5141
(509) 758-5299
Mailing address
4700 EXCHANGE CT STE 110, BOCA RATON, FL 33431-4450
(561) 948-0291
(561) 859-0429
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60620540
WA
363AM0700X
Medical Physician Assistant
PA-879
ID
Other
Enumeration date
12/10/2010
Last updated
07/31/2026
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