Individual
MARIAH BOWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
747 BROADWAY, SEATTLE, WA 98122-4379
(206) 215-2520
(206) 215-6364
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
59698
CA
363A00000X
Physician Assistant
Primary
PA70059773
WA
363AM0700X
Medical Physician Assistant
50.006190
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2362190
—
WA
Enumeration date
09/05/2019
Last updated
02/23/2026
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