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Individual

BEATRICE FOWLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS,MN

Contact information

Practice address
1001 MOLALLA AVE STE 100, OREGON CITY, OR 97045
(503) 656-5273
(503) 650-4828
Mailing address
1001 MOLALLA AVE STE 100, OREGON CITY, OR 97045-3753
(503) 656-5273
(503) 650-4828

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200550179
OR

Other

Enumeration date
12/18/2006
Last updated
03/05/2019
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