Individual
NICHOLAS JON FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
913 NW GARDEN VALLEY BLVD, AUDIOLOGY DEPT., ROSEBURG, OR 97471-6523
(541) 290-8441
Mailing address
913 NW GARDEN VALLEY BLVD, AUDIOLOGY DEPT., ROSEBURG, OR 97471-6523
(541) 290-8441
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
030837
OR
Other
Enumeration date
08/28/2015
Last updated
09/02/2015
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