Individual
JUDITH LYNN BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8562
Mailing address
3181 SW SAM JACKSON PARK RD, OHSU, L-475, PORTLAND, OR 97239-3011
(503) 494-8562
(503) 494-6344
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD20733
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150221
—
OR
Enumeration date
08/03/2006
Last updated
07/11/2007
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