Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carson Van Sanford

Individual provider Neurology Physician · NPI 1669869574

Carson Van Sanford is a Neurology in Everett, Washington. Graduated from University of Kentucky College of Medicine in 2015, 11 years ago. Practices with Providence Health and Services - Washington, a 264-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Alaska, California, Idaho and Montana and 4 more.

Years since qualifying
11
Trained at
University of Kentucky College of Medicine
Licensed in
AK, CA, ID, MT, NM, OR
In the registry since
2015
Specialties on file
10

Practice location Address checks out

1321 Colby Ave
Everett, WA 98201-1665
Phone: (425) 261-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence MD60942220 (WA)
Neurology Physician Taxonomy 2084N0400X · Licence 104681 (MT)
Neurology Physician Taxonomy 2084N0400X · Licence MC-1231 (ID)
Neurology Physician Taxonomy 2084N0400X · Licence MD208481 (OR)
Neurology Physician Taxonomy 2084N0400X · Licence 186740 (AK)
Neurology Physician Taxonomy 2084N0400X · Licence A177502 (CA)
Neurology Physician Taxonomy 2084N0400X · Licence T7069 (TX)
Neurology Physician Taxonomy 2084N0400X · Licence TM2022-0410 (NM)
Vascular Neurology Physician Taxonomy 2084V0102X · Licence MD60942220 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1669869574
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 17, 2015
Last updated in NPPESJuly 22, 2022
Certification dateJuly 22, 2022
Mailing addressPo Box 3360, Portland, OR 97208-3360

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolUNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Providence Health And Services - Washington — 264 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations18 on file with Medicare

Other providers in Everett