Provider Demographics
NPI:1538397047
Name:EARL, CARYN P (LCPO)
Entity type:Individual
Prefix:MS
First Name:CARYN
Middle Name:P
Last Name:EARL
Suffix:
Gender:F
Credentials:LCPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 EASTLAKE AVE E
Mailing Address - Street 2:UW O&P CLINIC
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109
Mailing Address - Country:US
Mailing Address - Phone:206-598-4026
Mailing Address - Fax:202-842-8427
Practice Address - Street 1:501 EASTLAKE AVE E
Practice Address - Street 2:UW O&P CLINIC
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109
Practice Address - Country:US
Practice Address - Phone:206-598-4026
Practice Address - Fax:202-842-8427
Is Sole Proprietor?:No
Enumeration Date:2009-06-24
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DECPO002069225000000X
WAOI60444179222Z00000X
WAPS60444370224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist
No225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter
No224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist