Individual
DR. CARRIE LYNN KLAES WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
601 BROADWAY FL 6, SEATTLE, WA 98122-5330
(206) 386-2600
(206) 622-1644
Mailing address
805 MADISON ST STE 901, SEATTLE, WA 98104-1172
(206) 264-8100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60764338
WA
207QS0010X
Sports Medicine (Family Medicine) Physician
MD60764338
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2044845
—
WA
01
—
376926
WA L&I
WA
Enumeration date
10/16/2008
Last updated
08/05/2020
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