NPI 1992467476
Jessica Fowler, MMMTBC
Practice location
- Address
- 1601 E Fourth Plain Blvd, Vancouver, WA 98661-3713
- Phone
- (503) 220-8262
- Mailing address
- 634 NE 74th Ave, Portland, OR 97213-6229
Registered specialties
Music Therapist
Primary
Registry record
- NPI
- 1992467476
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 12 Oct 2021
- Record last updated
- 12 Oct 2021
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.