Healthcare Provider Details

I. General information

NPI: 1306246129
Provider Name (Legal Business Name): TAMARA FOWLER LMP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2014
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5610 KITSAP WAY SUITE 260
BREMERTON WA
98312-2292
US

IV. Provider business mailing address

2305 HOLMAN ST
BREMERTON WA
98310-5114
US

V. Phone/Fax

Practice location:
  • Phone: 360-478-2100
  • Fax:
Mailing address:
  • Phone: 360-801-3814
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: