Provider Demographics
NPI:1821898669
Name:COWAN, MAKENNA KATHERINE
Entity type:Individual
Prefix:
First Name:MAKENNA
Middle Name:KATHERINE
Last Name:COWAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:MAKENNA
Other - Middle Name:KATHERINE
Other - Last Name:MORALES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1425 5TH AVE N APT 405
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-3359
Mailing Address - Country:US
Mailing Address - Phone:206-451-0565
Mailing Address - Fax:
Practice Address - Street 1:1700 AIRPORT WAY S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98134-1618
Practice Address - Country:US
Practice Address - Phone:206-971-8830
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-18
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator