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Individual

PATRICE MCGOWAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
441 NW ELKS DR, CORVALLIS, OR 97330-3744
(541) 768-4950
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD21970
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
133942
OR
Enumeration date
08/05/2006
Last updated
08/07/2023
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