Individual
BOWHEE SOHN GWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10414 BEARDSLEE BLVD STE 100, BOTHELL, WA 98011-3205
(425) 486-0658
(425) 487-6761
Mailing address
955 POWELL AVE SW, RENTON, WA 98057-2908
(425) 277-1311
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301105225
MI
207Q00000X
Family Medicine Physician
Primary
60773048
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2086646
—
WA
Enumeration date
06/16/2014
Last updated
12/27/2024
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