Individual
JACARE LAUREN CARDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
904 7TH AVE, SEATTLE, WA 98104-1132
(206) 860-4424
(206) 720-7424
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 304-8431
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP61318692
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2160526
—
WA
Enumeration date
04/13/2018
Last updated
10/23/2023
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