Provider Demographics
NPI:1619218567
Name:GAMBEE, CARDEN KENDRICK (DO)
Entity Type:Individual
Prefix:
First Name:CARDEN
Middle Name:KENDRICK
Last Name:GAMBEE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1344 WINTERGREEN LN NE UNIT 100
Mailing Address - Street 2:
Mailing Address - City:BAINBRIDGE ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98110-5147
Mailing Address - Country:US
Mailing Address - Phone:206-201-0488
Mailing Address - Fax:206-835-7439
Practice Address - Street 1:1344 WINTERGREEN LN NE UNIT 100
Practice Address - Street 2:
Practice Address - City:BAINBRIDGE ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98110-5147
Practice Address - Country:US
Practice Address - Phone:206-201-0488
Practice Address - Fax:206-835-7439
Is Sole Proprietor?:No
Enumeration Date:2013-03-01
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0116025462207Q00000X
WAOP60747016207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2084377Medicaid