Individual
TODD DAVID BOWERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
400 E EVERGREEN BLVD, SUITE 205C, VANCOUVER, WA 98660-3331
(360) 735-9590
(360) 735-9587
Mailing address
1440 ROSEMONT RD, WEST LINN, OR 97068-2933
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00003191
WA
Other
Enumeration date
12/26/2006
Last updated
07/08/2007
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