Individual
BOWEN LUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
8552 SW APPLE WAY, PORTLAND, OR 97225-1772
(503) 210-1281
Mailing address
9920 SW KABLE ST, TIGARD, OR 97224-4684
(949) 648-3563
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
63841
OR
Other
Enumeration date
11/11/2020
Last updated
01/03/2024
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