Individual
ELLA BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-6551
(503) 494-0979
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-6551
(503) 494-0979
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD214067
OR
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
34488
AL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MD214067
OR
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
MD214067
OR
Other
Enumeration date
11/30/2005
Last updated
06/29/2023
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