Individual
KATIE BOWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4927 NE 30TH AVE, PORTLAND, OR 97211-7007
(503) 281-0861
Mailing address
3804 N HAIGHT AVE APT 10, PORTLAND, OR 97227-1338
(541) 647-0714
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC197059
OR
172M00000X
Mechanotherapist
18847
OR
Other
Enumeration date
01/26/2016
Last updated
01/03/2020
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