Individual
DR. MICAHLYN MARIE POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5580 NORDIC WAY, FERNDALE, WA 98248
(360) 384-1511
(360) 384-5758
Mailing address
5580 NORDIC WAY, FERNDALE, WA 98248
(360) 384-1511
(360) 384-5758
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60335430
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0322502
LABOR AND INDUSTRIES
WA
05
—
2029380
—
WA
Enumeration date
06/23/2010
Last updated
07/14/2021
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