Individual ProviderJulie M KowalikPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3710 SW Us Veterans Hospital Rd, Portland, OR 97239-2964(503) 220-8262PECOS EnrollmentBased on the most recent information from CMS, provider Julie M Kowalik does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1518361328Provider TypeIndividualFull NameKowalik, Julie MCredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date10/22/2014Last Updated1/2/2019Contact InformationPractice LocationPractice Address3710 SW Us Veterans Hospital Rd, Portland, OR 97239-2964Phone(503) 220-8262Fax(503) 402-2907Mailing LocationMailing Address3710 SW Us Veterans Hospital Rd, Portland, OR 97239-2964Phone(503) 220-8262Fax(503) 402-2907Provider TaxonomiesCodeDescriptionLicenseCode363AM0700XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicensePA170338Oregon