Individual
CARSON VAN SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1321 COLBY AVE, EVERETT, WA 98201-1665
(425) 261-2000
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
104681
MT
2084N0400X
Neurology Physician
186740
AK
2084N0400X
Neurology Physician
A177502
CA
2084N0400X
Neurology Physician
MC-1231
ID
2084N0400X
Neurology Physician
MD208481
OR
2084N0400X
Neurology Physician
Primary
MD60942220
WA
2084N0400X
Neurology Physician
T7069
TX
2084N0400X
Neurology Physician
TM2022-0410
NM
2084V0102X
Vascular Neurology Physician
MD60942220
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2015
Last updated
07/22/2022
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