Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CAROLINE O AGBETUNSIN, MD
ActivePediatrics · VANCOUVAR, WA
Registration Details
- NPI Number
- 1740250836
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 23, 2006 (20.303571019531 yrs)
- Last Updated
- Feb 13, 2009
- License
-
11279 (NV)
Practice Information
- Address
-
7410 DELAWARE LNSEA-MAR COMMUNITY HEALTH CENTERVANCOUVAR, WA, 916641408Browse WA providers · Browse ZIP 91664
- Phone
- 3608965128
- Fax
- 3608965179
- Primary Specialty
-
Pediatrics
208000000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.