Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175M00000X | Lay Midwife | ||
N | 176B00000X | Midwife | ||
Y | 176B00000X | Midwife | MW 60268888 | WA |
NPI | 1013288471 |
---|---|
Provider Name | Mrs. Jodilyn Owen |
First Address | Seattle, WA 98118-2566 |
Second Address | Seattle, WA 98118-3463 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2012 |
Last Update Date | 06/05/2013 |