Gotkowitz, Carrie Jean Kay

Gotkowitz, Carrie Jean Kay is an individual health care provider with primary practice located at 210 Se 136Th Ave , Vancouver WA 98684-6930. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Gotkowitz, Carrie Jean Kay can be contacted via phone (360) 944-9889.

Contact Information

Primary practice address
210 Se 136Th Ave Vancouver WA 98684-6930
Phone: (360) 944-9889
Fax: (360) 944-9686
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X MD00030624 Washington

Profile Details

NPI number 1679576540
LBN Legal business name Gotkowitz, Carrie Jean Kay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Feb 19th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679576540 NPPES
Washington MEDICAID 1016103
Washington MEDICAID 057518

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