Individual
SALLY SEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 397-3352
(360) 604-1771
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 882-2778
(360) 604-1653
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
MD00048299
WA
207VM0101X
Maternal & Fetal Medicine Physician
MD25258
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0262822
L & I
WA
05
—
1659386159
—
WA
05
—
233457
—
OR
Enumeration date
07/31/2006
Last updated
09/22/2010
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