Individual
CHAD FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14025 SW FARMINGTON RD, SUITE 200, BEAVERTON, OR 97005-2512
(503) 644-2545
Mailing address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442
(360) 535-3917
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/23/2015
Last updated
12/23/2015
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