Individual
CARTER F. YEATMAN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19020 33RD AVE W, STE 210, LYNNWOOD, WA 98036-4746
(425) 563-1500
(425) 563-1374
Mailing address
19020 33RD AVE W, STE 210, LYNNWOOD, WA 98036-4746
(425) 563-1500
(425) 563-1374
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
MD00048526
WA
2085R0202X
Diagnostic Radiology Physician
M-12318
ID
2085R0202X
Diagnostic Radiology Physician
Primary
MD00048526
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780872564
—
ID
01
—
248087
L&I PROVIDER ID
WA
01
—
248107
L&I PROVIDER ID
WA
05
—
8529893
—
WA
Enumeration date
10/05/2007
Last updated
02/09/2015
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