Mark L Bowers, P.A.
Physician Assistant, Surgical in Renton, WA. Individual provider (NPI-1).
NPI number1811040504
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1811040504
- Entity type
- Individual (NPI-1)
- Name
- Mr. Mark L Bowers
- Credential
- P.A.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 18, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | PA10001195 | WA | Yes |
Practice location
4011 Talbot Rd SSuite 300
Renton, WA 98055-5773
Phone 425-656-5060 · Fax 425-656-5047
Mailing address
720 Olive WaySuite 1505
Seattle, WA 98101-1878
Phone 206-838-2590 · Fax 206-264-8689
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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