Individual
PAUL BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
12303 NE 130TH LN, SUITE 520, KIRKLAND, WA 98034-3099
(425) 899-5510
(425) 899-5524
Mailing address
PO BOX 8592, KIRKLAND, WA 98034-0592
(425) 899-5510
(425) 899-5524
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA10002570
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0164060
LABOR AND INDUSTRIES
WA
01
—
7480BO
REGENCE
WA
01
—
P00166046
RAILROAD MEDICARE
WA
Enumeration date
11/02/2006
Last updated
07/08/2007
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