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Contact Information

CARRIE J GOTKOWITZ, MD
210 SE 136TH AVE
VANCOUVER, WA98684-6930
 Phone: 360-944-9889
 Fax: 360-944-9686
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for CARRIE J GOTKOWITZ · (Female)

NPI Number 1679576540
Status Active
Credentials MD
Entity Individual
Enumeration date 05/24/2005
Last updated 02/19/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • WA License # MD00030624
  • OR Medicaid 057518
  • WA Medicaid 1016103
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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