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Individual

MR. DEREK NEIL BOWERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ACNP-BC

Contact information

Practice address
2836 NE BRYCE ST, PORTLAND, OR 97212-1640
(615) 330-2032
Mailing address
2836 NE BRYCE ST, PORTLAND, OR 97212-1640
(615) 330-2032

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
14568
TN
363LA2100X
Acute Care Nurse Practitioner
Primary
201150020NP
OR

Other

Enumeration date
11/17/2009
Last updated
06/17/2011
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