Individual
CHRISTOPHER LEE COWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10100 SE SUNNYSIDE ROAD, CLACKAMAS, OR 97015
(503) 571-4970
Mailing address
9908 SE MT SCOTT BLVD, PORTLAND, OR 97266
(503) 841-5055
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G64589
CA
302R00000X
Health Maintenance Organization
MD00036973
WA
302R00000X
Health Maintenance Organization
MD22737
OR
Other
Enumeration date
05/08/2007
Last updated
09/11/2025
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