Individual
DR. CARRIE JEAN KAY GOTKOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
210 SE 136TH AVE, VANCOUVER, WA 98684-6930
(360) 944-9889
(360) 944-9686
Mailing address
210 SE 136TH AVE, VANCOUVER, WA 98684-6930
(360) 944-9889
(360) 944-9686
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD00030624
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057518
—
OR
05
—
1016103
—
WA
Enumeration date
05/24/2005
Last updated
02/19/2013
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