Individual
MICHELE BOWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
625 NE GALLOWAYST, MCMINVILLE, OR 97128
(503) 474-5099
Mailing address
627 NE EVANS ST, MCMINNVILLE, OR 97128-3923
(503) 474-5099
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251B00000X
Case Management Agency
93-6002307
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122994
—
OR
Enumeration date
02/05/2019
Last updated
07/14/2023
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