Individual
KATIE ALISON CARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9505 S STEELE ST, TACOMA, WA 98444-1858
(253) 597-6800
Mailing address
9505 S STEELE ST, TACOMA, WA 98444-1858
(253) 597-6800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
60238295
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578846796
—
WA
Enumeration date
09/23/2011
Last updated
06/16/2021
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