Jeffrey Michael Carse
Technician, Other in Vancouver, WA. Individual provider (NPI-1).
NPI number1609354653
StatusActive
Last updated in NPPESAug 1, 2018
Details
- NPI
- 1609354653
- Entity type
- Individual (NPI-1)
- Name
- Jeffrey Michael Carse
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 1, 2018
- Last updated
- Aug 1, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
Practice location
6926 Ne Frth Pln BlvdVancouver, WA 98661-7254
Phone 360-993-3000
Mailing address
6926 Ne Frth Pln BlvdVancouver, WA 98661-7254
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