Individual
JANICE C. CARLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3915 TALBOT RD S, SUITE 401, RENTON, WA 98055-5738
(425) 690-3445
(425) 690-9445
Mailing address
3600 LIND AVE SW, SUITE 100 ATTN CREDENTIALING, RENTON, WA 98057-4970
(425) 690-2715
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00022040
WA
207QA0505X
Adult Medicine Physician
MD00022040
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015287
—
WA
05
—
1034586
—
WA
01
—
G8892366
MEDICARE W VALLEY MEDICAL GROUP - RENTON
WA
Enumeration date
07/05/2006
Last updated
08/17/2021
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