Kandice Sue Bowman in Portland - Pediatrics
Kandice Sue Bowman - NPI 1457404758
Kandice Sue Bowman is a Pediatrics in Portland, Oregon. Kandice Sue Bowman practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kandice Sue Bowman is 1457404758. The last update date is 2009-06-04.
Kandice Sue Bowman's current location address is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can contact this provider via phone number 5034945604 and fax number 5034944631. The mailing address for Kandice Sue Bowman is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kandice Sue Bowman |
|---|---|
| Address | 3181 Sw Sam Jackson Park Rd, Portland, Oregon |
| Phone Number | 5034945604 |
| Fax Number | 5034944631 |
| Sole Proprietor | N |
| Credentials | PNP |
NPI Number Detail
| NPI Number | 1457404758 |
|---|---|
| Provider Enumeration Date | 2007-01-19 |
| Last Updated Date | 2009-06-04 |
Provider Mailing Address Detail
| Address | 3181 Sw Sam Jackson Park Rd |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972393011 |
| Phone Number | 5034945604 |
| Fax Number | 5034944631 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 200150120NP |
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Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kandice Sue Bowman by the Centers for Medicare & Medicaid Services?
The Kandice Sue Bowman has been issued the NPI (National Provider Identifier) 1457404758, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Kandice Sue Bowman's facilities are geographically located?
The facilities of Kandice Sue Bowman are physically situated at the following location: 3181 Sw Sam Jackson Park Rd, Portland, OR, 972393011.
What is Kandice Sue Bowman's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kandice Sue Bowman's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 363Lp0200X.
When did Kandice Sue Bowman receive its 1457404758 assignment?
The Kandice Sue Bowman was assigned its 1457404758 on 2007-01-19, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Kandice Sue Bowman, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kandice Sue Bowman, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-06-04.
NPI Number: 1275535502
Address: 1986 Enterprise Ave Apt B, Great Lakes, IL