Provider Demographics
NPI:1538528591
Name:RAWSON, JAMIE (PCA, NREMT)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:
Last Name:RAWSON
Suffix:
Gender:F
Credentials:PCA, NREMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 LOWER RAINBOW RD
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59718-8121
Mailing Address - Country:US
Mailing Address - Phone:406-660-2592
Mailing Address - Fax:
Practice Address - Street 1:220 LOWER RAINBOW RD
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59718-8121
Practice Address - Country:US
Practice Address - Phone:406-660-2592
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-18
Last Update Date:2016-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health