Kristen Bowman, RD | |
749 Rabbit Run St, Stayton, OR 97383-1697 | |
(503) 551-6897 | |
Not Available |
Full Name | Kristen Bowman |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 749 Rabbit Run St, Stayton, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578160784 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | LD-D-000866 (Oregon) | Primary |
Provider Name | Zipongo Health Provider Group P.a. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1972146694 PECOS PAC ID: 0547666448 Enrollment ID: O20221110000403 |
Mailing Address | Practice Location Address |
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Kristen Bowman, RD 749 Rabbit Run St, Stayton, OR 97383-1697 Ph: (503) 551-6897 | Kristen Bowman, RD 749 Rabbit Run St, Stayton, OR 97383-1697 Ph: (503) 551-6897 |
Mrs. Korinne Lynn Mcveety, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1401 N 10th Ave, Stayton, OR 97383 Phone: 503-769-4380 Fax: 503-769-8563 | |
Donna Jean Gormley, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1401 N 10th Ave, Stayton, OR 97383 Phone: 503-769-4380 Fax: 503-769-8563 | |
Mr. Christopher Fu, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1401 N 10th Ave, Stayton, OR 97383 Phone: 503-769-9223 |