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NPI Code Detail

MEDICARE: DR. ROWENA MADERAZO CARATAO M.D.

MEDICARE:  DR. ROWENA MADERAZO CARATAO  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianMD00020781WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699700245
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROWENA MADERAZO CARATAO M.D.
Provider Business Mailing Address
First Line : 615 N F ST
Second Line :
City : ABERDEEN
State : WA
Zip : 98520-2657
Country : US
Telephone Number : 360-533-4599
Fax Number : 360-537-6514
Provider Business Practice Location Address
First Line : 319 E PIONEER AVE
Second Line :
City : MONTESANO
State : WA
Zip : 98563-4601
Country : US
Telephone Number : 360-533-4599
Fax Number : 360-537-6514
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2006
Last Update Date : 02/28/2013

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