Individual
DR. TERRY E COWGILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
200 NW BIRCH PL, ISSAQUAH, WA 98027-3204
(425) 890-8100
Mailing address
PO BOX 1100, ISSAQUAH, WA 98027-0042
(425) 890-8100
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00001211
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0665990001
DMERC MEDICARE
—
05
—
2038701
—
WA
Enumeration date
07/12/2007
Last updated
07/12/2007
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