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

Steven Randall Carroll II

Individual provider General Practice Physician · NPI 1417712084

Steven Randall Carroll II is a General Practice Physician in Tacoma, Washington. Licensed in Indiana. Registered with an NPI since 2024.

Licensed in
IN
In the registry since
2024

Practice location Address checks out

9040 Jackson Ave
Tacoma, WA 98431-0001
Phone: (253) 968-0117
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 02008777A (IN)

Record details

NPI number1417712084
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 13, 2024
Last updated in NPPESFebruary 27, 2026
Certification dateFebruary 27, 2026

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