Organization Active NPI

Bowen Arrow Bodyworks, LLC

  • Specialist
  • Yakima, WA
National Provider Identifier
1629437843
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA60079246 Issued in WA
Legal business name
BOWEN ARROW BODYWORKS, LLC
Practice address
307 S 12TH Ave
Suite 20
Yakima, WA 98902-3100
Phone
(509) 759-7470
NPI assigned
Feb 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nicholas Andreas Malmstrom, LMP
Title
Owner
Phone
(509) 901-3686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MA60079246 WA Primary

Addresses

Primary practice location

307 S 12TH Ave
Suite 20
Yakima, WA 98902-3100

Mailing address

411 S 17TH Ave
Yakima, WA 98902-3803

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455580800000",
    "number": "1629437843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 S 17TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 S 12TH AVE",
            "address_2": "SUITE 20",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023100",
            "telephone_number": "509-759-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOWEN ARROW BODYWORKS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-16",
        "last_updated": "2016-02-16",
        "status": "A",
        "authorized_official_last_name": "MALMSTROM",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "ANDREAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-901-3686",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA60079246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.