Individual
DR. MANDY BOWDOIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
2411 19TH AVE, FOREST GROVE, OR 97116-2895
(321) 412-5018
Mailing address
2411 19TH AVE, FOREST GROVE, OR 97116-2895
(321) 412-5018
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
430895
OR
225XP0200X
Pediatric Occupational Therapist
Primary
430895
OR
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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