Whalio Doctors

NPI 1093921975

Brian M. Bowen, DPM

Practitioner Foot & Ankle Surgery Podiatrist Portland, OR

Practice location

Address
1717 NE 42nd Ave Suite 3300, Portland, OR 97213-1569
Phone
(503) 284-2000
Fax
(503) 284-2002

Registered specialties

Foot & Ankle Surgery Podiatrist Primary
Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence DP00435 (OR)

Registry record

NPI
1093921975
Entity type
Individual
Sex (as registered)
Male
NPI issued
15 May 2007
Record last updated
31 Aug 2012

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.