Individual
JACK C MCDOWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
63140 DICKEY RD, BEND, OR 97701-9742
(541) 668-7054
Mailing address
21178 SE GOLDEN MKT LN, BEND, OR 97702
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
202214788RN
OR
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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