Individual
CARISSA MARIE BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 813-2000
Mailing address
9208 NE 45TH PL, VANCOUVER, WA 98665-5360
(360) 609-8878
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
10015490
OR
Other
Enumeration date
03/24/2023
Last updated
09/25/2023
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