Individual
JENNIFER T BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11390 SE 82ND AVE, STE 801, PORTLAND, OR 97086-7637
(503) 653-5004
(503) 794-0531
Mailing address
5000 CHESHIRE PKWY N, PLYMOUTH, MN 55446-4103
(188) 833-3915
(763) 268-4353
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
023305
OR
Other
Enumeration date
01/02/2007
Last updated
08/31/2011
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