Individual
KRISTEN BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
749 RABBIT RUN ST, STAYTON, OR 97383-1697
(503) 551-6897
Mailing address
749 RABBIT RUN ST, STAYTON, OR 97383-1697
(503) 551-6897
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-D-000866
OR
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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