Individual
JONATHAN LOWY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 388-4333
(541) 388-3446
Mailing address
PO BOX 6095, BEND, OR 97708-6095
(541) 706-5922
(541) 706-6869
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD00042352
WA
207RC0001X
Clinical Cardiac Electrophysiology Physician
MD00042352
WA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
MD186276
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7759831
AETNA
WA
01
—
G016
TRI WEST (TRICARE)
WA
01
—
P00123973
RAILROAD MEDICARE
WA
Enumeration date
05/09/2006
Last updated
04/12/2023
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