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Individual

CARLA JEAN BOWMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 652-2880
(503) 571-8445
Mailing address
3910 POSEIDON CT, WEST LINN, OR 97068-2821
(503) 353-1612

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OR MD22946
OR
207Q00000X
Family Medicine Physician
WA MD00039607
WA

Other

Enumeration date
12/06/2006
Last updated
07/08/2007
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