Individual
ALEC ROBERT BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSS
Contact information
Practice address
348 W ADAMS ST, BURNS, OR 97720-1710
(541) 573-8376
(541) 573-8378
Mailing address
348 W ADAMS ST, BURNS, OR 97720-1710
(541) 573-8376
(541) 573-8378
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
THW000105302
OR
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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