Individual
DEBRA LYNN BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC I
Contact information
Practice address
627 NE EVANS ST, MCMINNVILLE, OR 97128-3923
(503) 434-9846
Mailing address
4921 ELKHORN CT SE, SALEM, OR 97317-5745
(503) 562-9074
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
04-03-05
OR
Other
Enumeration date
05/03/2010
Last updated
05/03/2010
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