Individual
MRS. KATRINA LOUISE BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7205 265TH ST NW, STANWOOD, WA 98292-6221
(360) 629-1504
(360) 629-1513
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(360) 629-1504
(360) 629-1513
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60762680
WA
363AM0700X
Medical Physician Assistant
PA60762680
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA60762680
WA STATE LICENSE NUMBER
WA
Enumeration date
05/10/2017
Last updated
12/09/2021
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