Individual
DIANA L BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
965 ELLENDALE DR, MEDFORD, OR 97504-8215
(541) 734-3434
(541) 734-3638
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(541) 734-3434
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA180479
OR
Other
Enumeration date
02/13/2007
Last updated
11/15/2016
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