Individual
DR. JACOB MARK LOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
891 23RD ST NE, SALEM, OR 97301-1793
(503) 364-2181
(503) 364-0364
Mailing address
891 23RD ST NE, SALEM, OR 97301-1793
(503) 364-2181
(503) 364-0364
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2995
OR
Other
Enumeration date
02/18/2014
Last updated
09/10/2018
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