Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | MD00046139 | WA |
Y | 208600000X | Surgeon | MD00046139 | WA |
NPI | 1023022068 |
---|---|
Provider Name | Karen S. Hunter |
First Address | Portland, OR 97208-3360 |
Second Address | Sedro Woolley, WA 98284 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 12/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1000506 | (05) | WA |