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Individual

JON DENNIS LOWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
2304 SW INDIAN MARY CT, TROUTDALE, OR 97060-1769
(503) 465-6591
Mailing address
2304 SW. INDIAN MARY COURT, TROUTDALE, OR 97060
(503) 465-6591

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10005262
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA 00215
OREGON STATE BOARD OF MEDICAL EXAMINERS
OR
01
PA10005262
STATE OF WA DEPT HEALTH
WA
Enumeration date
09/27/2007
Last updated
07/27/2010
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