Individual
MR. MATTHEW EDGAR BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1785 N FRONT ST, WOODBURN, OR 97071-9799
(503) 980-6284
Mailing address
1390 MERIDIAN DR, WOODBURN, OR 97071-9668
(503) 981-9555
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000003675
OR
2255A2300X
Athletic Trainer
AT-AT-10144482
OR
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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