Active NPIIndividual provider

Caroline O Agbetunsin, MD

Pediatrics in Vancouvar, Washington

NPI Number1740250836
Practice location
7410 Delaware Ln, Sea-Mar Community Health Center, Vancouvar, WA 91664-1408
Fax
360-896-5179
Last updated
February 13, 2009

Caroline O Agbetunsin is a Pediatrics based in Vancouvar, WA. Caroline O Agbetunsin practices in Vancouvar, WA and has the professional credentials of MD. The NPI Number for Caroline O Agbetunsin is 1740250836 and holds a License No. 11279 (NV). The current practice location address for Caroline O Agbetunsin is 7410 Delaware Ln, Sea-Mar Community Health Center, Vancouvar, WA 91664-1408 and can be reached out via phone at 360-896-5128 and via fax at 360-896-5179.

Provider Profile Details

NPI Number
1740250836
Provider Name
Caroline O Agbetunsin
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
7410 Delaware Ln, Sea-Mar Community Health Center, Vancouvar, WA 91664-1408
Phone Number
360-896-5128
Fax Number
360-896-5179
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
January 23, 2006
Last Update Date
February 13, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
7410 Delaware Ln
Sea-Mar Community Health Center
Vancouvar, WA 91664-1408
Zip
91664-1408
Phone Number
360-896-5128
Fax Number
360-896-5179
Vancouvar, WA 91664Get directions →

Provider Business Mailing Address Details

Address
Po Box 34703
Seattle, WA 98124-1703
City
Seattle
State
WA
Zip
98124-1703
Phone Number
206-764-3335
Fax Number
206-764-0489

License Information

License Number
11279
License State
NV
Taxonomy
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Caroline O Agbetunsin, MD?

The NPI number of Caroline O Agbetunsin, MD is 1740250836. It was assigned on January 23, 2006 and is currently active in the NPPES registry.

What is the specialty of Caroline O Agbetunsin, MD?

Caroline O Agbetunsin, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NV under license number 11279.

Where does Caroline O Agbetunsin, MD practice?

The practice location is 7410 Delaware Ln, Sea-Mar Community Health Center, Vancouvar, WA 91664-1408. The office can be reached at 360-896-5128 (phone) or 360-896-5179 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1740250836 directly on the NPPES registry website.

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