Individual
CARRIE ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
916 PACIFIC AVE, EVERETT, WA 98201-4147
(425) 261-2000
(425) 404-5497
Mailing address
19020 33RD AVE W, STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1374
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
PA61175602
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2183553
—
WA
Enumeration date
05/20/2021
Last updated
10/04/2021
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