Individual
SUZANNE BOWSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
447 NE 47TH AVE STE 100, PORTLAND, OR 97213-2362
(503) 215-8989
Mailing address
447 NE 47TH AVE STE 100, PORTLAND, OR 97213-2362
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3898
OR
Other
Enumeration date
09/14/2017
Last updated
09/14/2017
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