Provider Demographics
NPI:1326480781
Name:SOWELL, KATIE T (DVM)
Entity Type:Individual
Prefix:
First Name:KATIE
Middle Name:T
Last Name:SOWELL
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 KELLY AVE
Mailing Address - Street 2:
Mailing Address - City:THE DALLES
Mailing Address - State:OR
Mailing Address - Zip Code:97058-2776
Mailing Address - Country:US
Mailing Address - Phone:541-298-8200
Mailing Address - Fax:
Practice Address - Street 1:1215 KELLY AVE
Practice Address - Street 2:
Practice Address - City:THE DALLES
Practice Address - State:OR
Practice Address - Zip Code:97058-2776
Practice Address - Country:US
Practice Address - Phone:541-298-8200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-25
Last Update Date:2013-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR6499174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian