Individual
MRS. MELISSA ANNE FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
325 ROSEMONT RD, WEST LINN, OR 97068-9300
(360) 907-2893
Mailing address
325 ROSEMONT RD, WEST LINN, OR 97068-9300
(360) 907-2893
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
200742670RN
OR
163WC1500X
Community Health Registered Nurse
Primary
200742670RN
OR
Other
Enumeration date
07/17/2012
Last updated
01/25/2014
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