Individual ProviderChristopher E. CarsonPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address200 NE Mother Joseph Pl, Suite 110, Vancouver, WA 98664-3299(360) 256-8584(360) 254-6161PECOS EnrollmentBased on the most recent information from CMS, provider Christopher E. Carson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1912942079Provider TypeIndividualFull NameCarson, Christopher E.CredentialP.A.-C.GenderMaleSole ProprietorNoEnumeration Date6/20/2006Last Updated10/10/2007Contact InformationPractice LocationPractice Address200 NE Mother Joseph Pl, Suite 110, Vancouver, WA 98664-3299Phone(360) 256-8584Fax(360) 449-1146Mailing LocationMailing Address200 NE Mother Joseph Pl, Suite 210, Vancouver, WA 98664-3299Phone(360) 254-6161Fax(360) 449-1139Provider TaxonomiesCodeDescriptionLicenseCode363AS0400XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicensePA10003951WashingtonProvider IdentifiersIDDescriptionIssuerID8434417DescriptionMedicaidIssuerUnlistedWashington