Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NT00001625 | WA |
N | 176B00000X | Midwife | MW 60101787 | WA |
NPI | 1073753786 |
---|---|
Provider Name | Dr. Terra D Sowinski |
First Address | Belfair, WA 98528-0397 |
Second Address | Belfair, WA 98528-9626 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2009 |
Last Update Date | 13/09/2012 |