| Mark Bowman Md Llc | |
|
15 82nd Dr Ste 100 Gladstone OR 97027-2550 | |
| (503) 801-7800 | |
| (503) 656-8080 |
| Full Name | Mark Bowman Md Llc |
|---|---|
| Speciality | General Practice |
| Location | 15 82nd Dr Ste 100, Gladstone, Oregon |
| Authorized Official Name and Position | Mark Randall Bowman (OWNER, MD) |
| Authorized Official Contact | 5038017800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Bowman Md Llc 15 82nd Dr Ste 100 Gladstone OR 97027-2550 Ph: (503) 801-7800 | Mark Bowman Md Llc 15 82nd Dr Ste 100 Gladstone OR 97027-2550 Ph: (503) 801-7800 |
| NPI Number | 1932683331 |
|---|---|
| Provider Enumeration Date | 09/20/2018 |
| Last Update Date | 01/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932683331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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