Provider Demographics
NPI:1508092784
Name:MYREN, KAREN SUE (MD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:SUE
Last Name:MYREN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:875 WESLEY ST
Mailing Address - Street 2:SUITE 250
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223-1613
Mailing Address - Country:US
Mailing Address - Phone:360-435-2233
Mailing Address - Fax:360-435-3966
Practice Address - Street 1:875 WESLEY ST
Practice Address - Street 2:SUITE 250
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-1613
Practice Address - Country:US
Practice Address - Phone:360-435-2233
Practice Address - Fax:360-435-3966
Is Sole Proprietor?:No
Enumeration Date:2009-06-02
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
COTL-3266207Q00000X
CODR49117207Q00000X
WAMD60287574207Q00000X
AKMED6633207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine