Healthcare Provider Details

I. General information

NPI: 1386931905
Provider Name (Legal Business Name): ALISON F LOWEN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2011
Last Update Date: 12/08/2022
Certification Date: 12/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7530 164TH AVE. NE SUITE #A215
REDMOND WA
98052
US

IV. Provider business mailing address

7530 164TH AVE. NE SUITE #A215
REDMOND WA
98052
US

V. Phone/Fax

Practice location:
  • Phone: 425-885-9292
  • Fax: 425-885-9106
Mailing address:
  • Phone: 330-863-8100
  • Fax: 330-543-4467

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35.122507
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: