Active NPI
Carbon Health Primary Care of Washington PC
- Family Medicine Physician
- Puyallup, WA
National Provider Identifier
1396696522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 DirectoryLocations
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.