Provider Demographics
NPI:1689482960
Name:ROWE, SEAN
Entity type:Individual
Prefix:
First Name:SEAN
Middle Name:
Last Name:ROWE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12201 PACIFIC AVE S
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98444-5126
Mailing Address - Country:US
Mailing Address - Phone:253-444-2395
Mailing Address - Fax:253-536-6637
Practice Address - Street 1:5001 112TH ST E
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98446-5307
Practice Address - Country:US
Practice Address - Phone:235-444-2395
Practice Address - Fax:253-536-6637
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-19
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist