Provider Demographics
NPI:1932321957
Name:JAMES, KAREN PATRICIA (LMP,MMP, BCTMB,NAC)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:PATRICIA
Last Name:JAMES
Suffix:
Gender:F
Credentials:LMP,MMP, BCTMB,NAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11411 8TH AVE W
Mailing Address - Street 2:203
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98204-5975
Mailing Address - Country:US
Mailing Address - Phone:425-355-1312
Mailing Address - Fax:425-355-1312
Practice Address - Street 1:1207 N 200TH ST
Practice Address - Street 2:210
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98133-3213
Practice Address - Country:US
Practice Address - Phone:206-542-4325
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2016-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00011059175L00000X
WANC10056781376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175L00000XOther Service ProvidersHomeopath
No376K00000XNursing Service Related ProvidersNurse's Aide