Individual
ZACHARY A. BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5050 SKYLINE VILLAGE LOOP S, SALEM, OR 97306-9490
(503) 391-1110
Mailing address
PO BOX 13129, SALEM, OR 97309-1129
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA208495
OR
363AM0700X
Medical Physician Assistant
Primary
PA208495
OR
363AS0400X
Surgical Physician Assistant
PA60493055
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2030559
—
WA
Enumeration date
07/24/2014
Last updated
12/26/2023
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