Individual
MRS. KATHRYN RENE BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1393 MERIDIAN DR, SUITE #1, WOODBURN, OR 97071-8799
(503) 981-1360
(503) 982-3528
Mailing address
8234 SW 10TH AVE, PORTLAND, OR 97219
(503) 332-8460
(503) 977-3002
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8171
OR
Other
Enumeration date
09/28/2006
Last updated
01/29/2008
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