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DR. DALLAS CARR AND ASSOCIATES NPI 1487700407


NPI Information

NPI: 1487700407
Provider Name: DR. DALLAS CARR AND ASSOCIATES
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
625 BLACK LAKE BLVD SW
SUITE 110
OLYMPIA, WA
ZIP 98502
Phone: (360) 943-1516
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DR. DALLAS CARR AND ASSOCIATES is a medical specialty clinic center in Olympia, WA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). DR. DALLAS CARR AND ASSOCIATES NPI is 1487700407. The provider is registered as an organization entity type.

The provider's business location address is:

625 BLACK LAKE BLVD SW
SUITE 110
OLYMPIA, WA
ZIP 98502-066
Phone: (360) 943-1516

The provider's authorized official is Dallas Robert Carr .
The authorized official title is Owner and has the following contact phone number (360) 943-1516.

The enumeration date for this NPI number is 1/25/2007 and was last updated on 7/22/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2500XClinic/CenterMedical SpecialtyOD00001152WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1U78319MEDICARE UPINWASHINGTON
22027159MEDICAIDWASHINGTON
3G8801628MEDICARE PINWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.