Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | MD60142012 | WA |
N | 207VG0400X | Gynecologist | MD60142012 | WA |
N | 207VX0000X | Obstetrician | MD27364 | OR |
NPI | 1336351352 |
---|---|
Provider Name | Mrs. Virginia Gail King |
First Address | Vancouver, WA 98683-9591 |
Second Address | Vancouver, WA 98683-9591 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2007 |
Last Update Date | 23/10/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1040330 | (05) | WA |