Individual
MS. JULIE DIANE CROWNOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1950 NW MYHRE RD FL 2, SILVERDALE, WA 98383-7662
(564) 240-4110
(564) 240-4088
Mailing address
1950 NW MYHRE RD FL 2, SILVERDALE, WA 98383-7662
(564) 240-4110
(564) 240-4088
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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