Organization Active NPI

Carbon Health Primary Care of Washington PC

  • Family Medicine Physician
  • Puyallup, WA
National Provider Identifier
1396696522
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CARBON HEALTH PRIMARY CARE OF WASHINGTON PC
Practice address
10221 156TH St E Ste P1-102
Puyallup, WA 98374-5690
Phone
(253) 292-5297
NPI assigned
Feb 4, 2026
Last updated
Jul 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marley Page
Title
Director of Contracting
Phone
(417) 861-9739

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

10221 156TH St E Ste P1-102
Puyallup, WA 98374-5690

Mailing address

PO Box 210
Portsmouth, NH 03802-0210

Other practice location 1

2915 184th St SW Bldg 5
Lynnwood, WA 98037-4847
Phone (425) 459-5170

Other practice location 2

1750 S 320th St Ste M24
Federal Way, WA 98003-5412
Phone (253) 238-7148

Other practice location 3

13210 39th Ave SE Ste 102
Mill Creek, WA 98012-6145
Phone (425) 216-6955

National Provider Directory

National Provider Directory

Locations

1750 S 320th St
Ste M24
Federal Way, WA 98003
Phone (253) 238-7148

13210 39th Ave SE
Unit 102
Mill Creek, WA 98012
Phone (425) 216-6955

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1770163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784851200000",
    "number": "1396696522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 210",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038020210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10221 156TH ST E STE P1-102",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983745690",
            "telephone_number": "253-292-5297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2915 184th St SW Bldg 5",
            "address_purpose": "LOCATION",
            "city": "Lynnwood",
            "state": "WA",
            "postal_code": "980374847",
            "country_code": "US",
            "telephone_number": "425-459-5170",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1750 S 320th St Ste M24",
            "address_purpose": "LOCATION",
            "city": "Federal Way",
            "state": "WA",
            "postal_code": "980035412",
            "country_code": "US",
            "telephone_number": "253-238-7148",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13210 39th Ave SE Ste 102",
            "address_purpose": "LOCATION",
            "city": "Mill Creek",
            "state": "WA",
            "postal_code": "980126145",
            "country_code": "US",
            "telephone_number": "425-216-6955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARBON HEALTH PRIMARY CARE OF WASHINGTON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-04",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "MARLEY",
        "authorized_official_title_or_position": "DIRECTOR OF CONTRACTING",
        "authorized_official_telephone_number": "417-861-9739"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.