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Individual

MS. JULIE DIANE CROWNOVER

Active
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Individual

MS. JULIE DIANE CROWNOVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA70047821
WA
363AS0400X
Surgical Physician Assistant
Primary
PA70047821
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500652563
OR
Enumeration date
12/02/2011
Last updated
01/05/2026
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