Individual
DR. AMY NICOLE COWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7937 SW 40TH AVE APT J, PORTLAND, OR 97219-3599
(503) 384-8081
Mailing address
7937 SW 40TH AVE APT J, PORTLAND, OR 97219-3599
(503) 384-8081
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
LL16424
OR
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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