Organization
MOUNT VERNON WOMENS CLINC INC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA C ROWLAND M.D. (PRESIDENT)
(360) 424-4627
Entity
Organization
Contact information
Practice address
111 N. 17TH STREET, MOUNT VERNON, WA 98273
(360) 424-4627
Mailing address
111 N. 17TH STREET, MOUNT VERNON, WA 98273
(360) 424-4627
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2841
PREMERA
—
05
—
7244908
—
WA
01
—
S75822
REGENCE
—
Enumeration date
04/23/2007
Last updated
07/11/2007
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