Individual
JOSIAH ODHIAMBO OWINYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
751 NE BLAKELY DR STE 4020, ISSAQUAH, WA 98029-6201
(425) 313-7124
Mailing address
751 NE BLAKELY DR STE 4020, ISSAQUAH, WA 98029-6201
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA60995870
WA
Other
Enumeration date
08/26/2019
Last updated
01/10/2020
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