Gomez Del Carpio, Jimena Maria

Gomez Del Carpio, Jimena Maria is an individual health care provider with primary practice located at 14841 179Th Ave Se , Monroe WA 98272-1127. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Gomez Del Carpio, Jimena Maria can be contacted via phone (360) 217-1155.

Contact Information

Primary practice address

14841 179Th Ave Se Monroe WA 98272-1127

Phone: (360) 217-1155

Fax: (360) 217-1154

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Allopathic & Osteopathic Physicians / Family Medicine	207Q00000X	MD61325030	Washington

Profile Details

NPI number	1619173614
LBN Legal business name	Gomez Del Carpio, Jimena Maria
Credentials	Doctor of Medicine (MD)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Jun 26th, 2007
Last updated	Aug 4th, 2023 - about last year

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

State	Type	Number	Issuer
All States	NPI	1619173614	NPPES
Washington	Other	MD61325030	WA STATE LICENSE NUMBER

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