Individual
BRUCE BOWLBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., CCC-LSLP
Contact information
Practice address
2750 NW HARRISON BLVD, CORVALLIS, OR 97330-5208
(154) 160-2101
Mailing address
2787 NW DAYLILY AVE, CORVALLIS, OR 97330-3474
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11107
OR
Other
Enumeration date
06/03/2009
Last updated
06/03/2009
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