Individual
CYNTHIA MARIE FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4839 NE MARTIN LUTHER KING JR BLVD, SUITE 204, PORTLAND, OR 97211-3386
(503) 953-4491
(971) 200-2662
Mailing address
4839 NE MARTIN LUTHER KING JR BLVD, SUITE 204, PORTLAND, OR 97211-3386
(503) 953-4491
(971) 200-2662
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
A66473
CA
2084P0800X
Psychiatry Physician
Primary
MD153649
OR
Other
Enumeration date
08/16/2006
Last updated
04/21/2015
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