Active NPI
Carbon Health Medical Group of Washington PC
- Urgent Care Clinic/Center
- Puyallup, WA
National Provider Identifier
1831900422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- CARBON HEALTH MEDICAL GROUP OF WASHINGTON PC
- Practice address
- 10221 156TH St E Ste P1-102
Puyallup, WA 98374-5690 - Phone
- (253) 292-5297
- Fax
- (253) 294-9042
- NPI assigned
- Jan 14, 2025
- 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
- Contracting and Cred Director
- Phone
- (253) 238-7148
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | 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
1751 S 320th St Ste M24
Federal Way, WA 98003
Phone (253) 238-7148
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260129001495 | WA | Part B Supplier - Clinic/Group Practice | 7618455882 |
Receives reassigned benefits from 30 practitioners Practice locations: Puyallup, WA; Mill Creek, WA; Federal Way, WA; Lynnwood, WA |
National Provider Directory
National Provider DirectoryLocations
13210 39th Ave SE
Unit 102
Mill Creek, WA 98012
Phone (425) 216-6955
10221 156th St E
Ste P1102
Puyallup, WA 98374
Phone (253) 292-5297
Practitioners & affiliated clinicians
Practitioners 30
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784851200000",
"number": "1831900422",
"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",
"fax_number": "253-294-9042"
}
],
"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",
"fax_number": "425-276-0042",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1751 S 320th St Ste M24",
"address_purpose": "LOCATION",
"city": "Federal Way",
"state": "WA",
"postal_code": "98003",
"country_code": "US",
"telephone_number": "253-238-7148",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CARBON HEALTH MEDICAL GROUP OF WASHINGTON PC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-14",
"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": "CONTRACTING AND CRED DIRECTOR",
"authorized_official_telephone_number": "253-238-7148"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.