Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207W00000X | Ophthalmologist | MD00037309 | WA |
Y | 2086S0122X | Plastic and Reconstructive Surgery | MD00037309 | WA |
NPI | 1083659262 |
---|---|
Provider Name | Kristin J Tarbet |
First Address | Woodinville, WA 98072-2363 |
Second Address | Bellevue, WA 98004-3058 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2006 |
Last Update Date | 13/02/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3718TA | REGENCE (01) | WA |
G35048 | (02) | WA |