Comer, Carolyn R

Comer, Carolyn R is an individual health care provider with primary practice located at 16821 Se Mcgillivray Blvd Suite 110, Vancouver WA 98683-0499. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as her primary health care specialty. Comer, Carolyn R can be contacted via phone (360) 567-1773.

Contact Information

Primary practice address
16821 Se Mcgillivray Blvd Suite 110 Vancouver WA 98683-0499
Fax: (360) 567-1967
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X MD00039392 Washington
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X MD23048 Oregon
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X MD9722 Alabama

Profile Details

NPI number 1578640116
LBN Legal business name Comer, Carolyn R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 17th, 2015 - about 9 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 1578640116 NPPES
Washington MEDICAID 8495798

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