Individual
SUMMER SKY BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
511 SW 10TH AVE, SUITE 1108, PORTLAND, OR 97205-2732
(503) 224-6800
(971) 275-1964
Mailing address
237 STATE ST, SALEM, OR 97301-3445
(503) 581-1087
(503) 581-1087
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11990
OR
Other
Enumeration date
02/07/2013
Last updated
10/19/2017
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