Provider Demographics
NPI:1982905188
Name:TOWNEND, SALLY STARKE (RN)
Entity Type:Individual
Prefix:MS
First Name:SALLY
Middle Name:STARKE
Last Name:TOWNEND
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8011 NE 100TH CIR
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98662-1349
Mailing Address - Country:US
Mailing Address - Phone:360-256-7967
Mailing Address - Fax:
Practice Address - Street 1:8011 NE 100TH CIR
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98662-1349
Practice Address - Country:US
Practice Address - Phone:360-256-7967
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-04
Last Update Date:2010-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR082021637RN163WP0200X
WARN00160203163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics