Individual
ATHALIA L CLOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3950 KEENE RD, WEST RICHLAND, WA 99353-4901
(509) 942-3130
(509) 628-8335
Mailing address
945 GOETHALS DR, STE 200, RICHLAND, WA 99352-3552
(509) 942-6327
(509) 946-0908
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10003094
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
319211600
GROUP MEDICARE PIN
WA
05
—
8332116
—
WA
Enumeration date
06/29/2006
Last updated
03/01/2021
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