Individual
KYLE BOWLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 813-2000
Mailing address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2099
(208) 484-0871
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
202101351CRNA-PP
OR
Other
Enumeration date
09/27/2018
Last updated
05/21/2022
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