Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | MD00020274 | WA |
N | 2084N0400X | Neurologist | MD00020274 | WA |
NPI | 1205880507 |
---|---|
Provider Name | Maureen Ann Callaghan |
First Address | University Place, WA 98466-4614 |
Second Address | University Place, WA 98466-4614 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2006 |
Last Update Date | 02/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2029355 | (05) | WA |
A08689 | (02) | WA |