Individual
REGINA C. MCDONALD-BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L,CHT
Contact information
Practice address
3927 RUCKER AVE, EVERETT, WA 98201-4833
(425) 339-5470
(425) 317-4649
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 339-5470
(425) 317-4649
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00003403
WA
225XH1200X
Hand Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0217180
DEPT OF LABOR & INDUSTRY
WA
01
—
0268156
DEPT OF L&I
WA
01
—
4594BO
REGENCE BLUE SHIELD
WA
01
—
5457BO
REGENCE BLUE SHIELD
WA
01
—
5642BO
REGENCE BLUE SHIELD
WA
01
—
5734BO
REGENCE BLUE SHIELD
WA
01
—
5755189
AETNA
WA
05
—
8474587
—
WA
01
—
8943885
L&I CRIME VICTIMS
WA
Enumeration date
07/07/2006
Last updated
05/18/2021
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