Individual
JANE LYNELL AHEARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
406-C SE 131ST AVE, SUITE 304, VANCOUVER, WA 98683-4004
(360) 892-4024
(360) 892-4159
Mailing address
406-C SE 131ST AVE, SUITE 304, VANCOUVER, WA 98683-4004
(360) 892-4024
(360) 892-4159
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
MD00030075
WA
207VG0400X
Gynecology Physician
MD16405
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008453
OMAP
OR
05
—
1113752
—
WA
Enumeration date
09/28/2006
Last updated
07/08/2007
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