Individual
BENJAMIN L BOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3805 SW HALL BLVD, BEAVERTON, OR 97005-2049
(503) 526-9285
Mailing address
17872 SW NIKS DR, BEAVERTON, OR 97003-4595
(740) 336-1225
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24968
OR
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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