Individual
RATERRA BARBARA BOWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRM
Contact information
Practice address
10564 SE WASHINGTON ST, PORTLAND, OR 97216-2809
(971) 806-0587
Mailing address
3910 SE STARK ST, PORTLAND, OR 97214-3241
(503) 595-2015
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
17-CRM-071
OR
Other
Enumeration date
06/06/2017
Last updated
06/06/2017
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