Provider Demographics
NPI:1639143555
Name:ROWLAND, SARA C (MD)
Entity type:Individual
Prefix:DR
First Name:SARA
Middle Name:C
Last Name:ROWLAND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 N 17TH ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:WA
Mailing Address - Zip Code:98273-3440
Mailing Address - Country:US
Mailing Address - Phone:360-424-4627
Mailing Address - Fax:360-848-6327
Practice Address - Street 1:111 N 17TH ST
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98273-3440
Practice Address - Country:US
Practice Address - Phone:360-424-4627
Practice Address - Fax:360-848-6327
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00043834207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8403941Medicaid
WA8403941Medicaid
WA8858086Medicare ID - Type Unspecified