Individual
MR. JOHN HAMMOND GOWER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
12622 412TH SE AVE, NORTH BEND, WA 98045
(503) 752-0827
Mailing address
12622 412TH SE AVE, NORTH BEND, WA 98045
(503) 752-0827
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
172M00000X
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
225700000X
—
WA
Enumeration date
11/04/2010
Last updated
11/04/2010
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