Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife |
NPI | 1063715894 |
---|---|
Provider Name | Megan Lynne Vowell |
First Address | Damascus, OR 97089-8284 |
Second Address | Damascus, OR 97089-8284 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/12/2010 |
Last Update Date | 16/12/2010 |