Provider Demographics
NPI:1083601579
Name:CARKIN, JULIE LYN (MD)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:LYN
Last Name:CARKIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10330 MERIDIAN AVE N
Mailing Address - Street 2:SUITE 250
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98133
Mailing Address - Country:US
Mailing Address - Phone:206-368-6123
Mailing Address - Fax:206-368-6178
Practice Address - Street 1:10330 MERIDIAN AVE N
Practice Address - Street 2:SUITE 250
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133
Practice Address - Country:US
Practice Address - Phone:206-368-6123
Practice Address - Fax:206-368-6178
Is Sole Proprietor?:No
Enumeration Date:2005-09-30
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00026587207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA660000601OtherRR MEDICARE
WA44273OtherL AND E
WA8148470Medicaid
WAE53770Medicare UPIN
WA8148470Medicaid