Provider Demographics
NPI:1376261115
Name:KARRASCH, ALICE DOMSCHKE
Entity Type:Individual
Prefix:MS
First Name:ALICE
Middle Name:DOMSCHKE
Last Name:KARRASCH
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:ALICE
Other - Middle Name:DOMSCHKE
Other - Last Name:DE ALMEIDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1515 DOCK ST UNIT 301
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98402-3255
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3650 131ST AVE SE
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98006-1395
Practice Address - Country:US
Practice Address - Phone:877-275-5269
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-18
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPA61479365208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery