Individual
BROOKE LOWRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
25050 SE STARK ST STE 300, GRESHAM, OR 97030-3388
(503) 667-8878
(503) 667-0310
Mailing address
25050 SE STARK ST STE 300, GRESHAM, OR 97030-3388
(503) 667-8878
(503) 667-0310
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
363A00000X
Physician Assistant
Primary
PA171703
OR
363AM0700X
Medical Physician Assistant
Primary
PA171703
OR
Other
Enumeration date
02/05/2007
Last updated
02/06/2026
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