Individual
JESSICA FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MM, MT-BC
Contact information
Practice address
1601 E FOURTH PLAIN BLVD, VANCOUVER, WA 98661-3713
(503) 220-8262
Mailing address
634 NE 74TH AVE, PORTLAND, OR 97213-6229
(913) 940-3662
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
08828
—
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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