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Individual

BRITTANY C. ROWAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
(360) 428-2586
(360) 428-6470
Mailing address
1400 E KINCAID ST, ATTN: CREDENTIALING, MOUNT VERNON, WA 98274-4127
(360) 428-2500
(360) 428-6485

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA60118197
WA
363AS0400X
Surgical Physician Assistant
Primary
PA60118197
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2004204
WA
01
263659
LABOR & INDUSTRIES
WA
Enumeration date
10/06/2009
Last updated
11/06/2018
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