Search › Washington › 175T00000X
Jesse Bowen
NPI 1831774405 · on the registry since 2021
Practice
- Address
- 1126 S Gold St
Centralia, WA 98531 - Phone
- (360) 807-4929
- Fax
- (360) 807-4160
- Clinicians at this address
- 46
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Also registered as
- 171M00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-08-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington