Whalio Doctors

NPI 1033966577

Matthew Edgar Bowman, ATC

Practitioner Athletic Trainer Woodburn, OR

Practice location

Address
1785 N Front St, Woodburn, OR 97071-9799
Phone
(503) 980-6284
Mailing address
1390 Meridian Dr, Woodburn, OR 97071-9668

Registered specialties (2)

Athletic Trainer Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 2000003675 (OR)
Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT-AT-10144482 (OR)

Registry record

NPI
1033966577
Entity type
Individual
Sex (as registered)
Male
NPI issued
2 May 2024
Record last updated
2 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.