Individual
BRIANNE MARIE BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
21600 HIGHWAY 99 STE 230, EDMONDS, WA 98026-8048
(206) 215-4250
(206) 215-4252
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA60474014
WA
363AM0700X
Medical Physician Assistant
Primary
PA60474014
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2037952
—
WA
Enumeration date
08/26/2013
Last updated
08/21/2023
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