Provider Demographics
NPI:1609369545
Name:BOERWINKLE, CAROLINE HUFF (MD)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:HUFF
Last Name:BOERWINKLE
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 1:1 E MAIN ST STE 100
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98002-4905
Mailing Address - Country:US
Mailing Address - Phone:425-690-3480
Mailing Address - Fax:425-690-9480
Practice Address - Street 1:1 E MAIN ST STE 100
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98002-4905
Practice Address - Country:US
Practice Address - Phone:425-690-3480
Practice Address - Fax:425-690-9480
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-13
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125.071898207V00000X
WAMD61291520207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology