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, MD is a Pediatrics based in Vancouvar, WA. Caroline O Agbetunsin, MD holds the professional credentials of MD. The NPI number for Caroline O Agbetunsin, MD is 1740250836 and holds license No. 11279 (NV). The current practice location address is 7410 Delaware Ln, Sea-Mar Community Health Center, Vancouvar, WA 91664-1408 and the office can be reached by phone at 360-896-5128 and by fax at 360-896-5179. The NPI was assigned on January 23, 2006 and the record was last updated in NPPES on February 13, 2009.

●Provider Profile Details

NPI Number
1740250836
Provider Name
Caroline O Agbetunsin
Credential
MD
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Enumeration Date
January 23, 2006
Last Update Date
February 13, 2009
NPI Status
Active

◉Business Practice Location Address

Address
7410 Delaware Ln
Sea-Mar Community Health Center
Vancouvar, WA 91664-1408
ZIP
91664-1408
Country
US
Phone Number
360-896-5128
Fax Number
360-896-5179

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✉Business Mailing Address

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

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Pediatrics208000000XYes11279NV

#Other Provider Identifiers

No legacy or other 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) and holds license No. 11279 (NV).

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 at npiregistry.cms.hhs.gov.

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