MEDICARE: JAMES BOWEN MD, MPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	MD61178500	WA

General Provider Information

NPI Number	:	1053845230
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES BOWEN MD, MPH

Provider Business Mailing Address
First Line	:	3250 AIRPORT WAY S STE 328
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98134-2167
Country	:	US
Telephone Number	:	206-429-5327
Fax Number	:

Provider Business Practice Location Address
First Line	:	3250 AIRPORT WAY S STE 328
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98134-2167
Country	:	US
Telephone Number	:	206-429-5327
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2017
Last Update Date	:	09/12/2024

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