Individual
JORDAN WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
916 S 3RD ST, MOUNT VERNON, WA 98273-4324
(530) 736-0250
Mailing address
3414 TRUMPETER DR, MOUNT VERNON, WA 98273-8607
(530) 736-0250
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MIDW.MW.61663618
WA
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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