Provider Demographics
NPI:1063715894
Name:VOWELL, MEGAN LYNNE
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:LYNNE
Last Name:VOWELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14052 SE RUST WAY
Mailing Address - Street 2:
Mailing Address - City:DAMASCUS
Mailing Address - State:OR
Mailing Address - Zip Code:97089-8284
Mailing Address - Country:US
Mailing Address - Phone:503-558-8002
Mailing Address - Fax:503-558-8002
Practice Address - Street 1:14052 SE RUST WAY
Practice Address - Street 2:
Practice Address - City:DAMASCUS
Practice Address - State:OR
Practice Address - Zip Code:97089-8284
Practice Address - Country:US
Practice Address - Phone:503-558-8002
Practice Address - Fax:503-558-8002
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-16
Last Update Date:2010-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife