LARRY RENN CARPENTER PA-C
NPI 1912982901
Physician Assistant - Medical in Davenport, WA

Active since December 13, 2005
100 3RD ST STE 1, DAVENPORT, WA 99122(509) 725-7501(509) 725-7501 Get Directions Write a Review

NPPES record last updated: March 23, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Larry Renn Carpenter Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARRY RENN CARPENTER PA-C (NPI 1912982901) is an individual medical provider in Davenport, Washington and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1912982901
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameLARRY RENN CARPENTERCredential: PA-C
Location Address100 3RD ST STE 1Davenport, WA 99122-5008
Mailing Address100 3rd St Ste 1Davenport, WA 99122-5008 · (509) 725-7501 · Fax (509) 725-7501
Fax(509) 725-7501
Sole ProprietorNo
Enumeration DateDecember 13, 2005
Last NPPES UpdateMarch 23, 2020
NPPES CertifiedMarch 23, 2020
NPI 1912982901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA60136165 (WA)
100 3RD ST STE 1, Davenport, WA 99122

Other Identifiers 2

Medicaid2005809WA
Other295800WA · Washington State Dept Of Labor & Industries

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larry Carpenter's NPI number?

The NPI number for Larry Carpenter is 1912982901. It was assigned to this individual provider in the NPPES registry on December 13, 2005.

Where is Larry Carpenter located?

Larry Carpenter practices at 100 3rd St Ste 1, Davenport, WA 99122. The listed phone number is (509) 725-7501.

What is Larry Carpenter's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Larry Carpenter was last updated on March 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.