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Contact Information

JORDAN WAGNER, LM, CPM
916 S 3RD ST
MOUNT VERNON, WA98273-4324
 Phone: 530-736-0250
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Midwife

176B00000X
Indicates primary specialty

NPI Profile & details for JORDAN WAGNER · (Female)

NPI # 1326935800
Status Active
Credentials LM, CPM
Entity Individual
Enumeration date 06/18/2025
Last updated 06/18/2025 - About 12 months ago
Sole proprietor 1 Yes
Identifiers
  • WA License # MIDW.MW.61663618
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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