Individual
DR. MARK RANDALL BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 3RD ST, TILLAMOOK, OR 97141-3430
(503) 815-2280
Mailing address
4397 GLENVIEW AVE, TILLAMOOK, OR 97141-2864
(503) 842-3750
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD18668
OR
208D00000X
General Practice Physician
MD18668
OR
Other
Enumeration date
07/25/2006
Last updated
12/04/2018
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