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Contact Information

BRIAN M BOWEN, DPM
1717 NE 42ND AVE
SUITE 3300
PORTLAND, OR97213-1569
 Phone: 503-284-2000
 Fax: 503-284-2002
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for BRIAN M BOWEN · (Male)

NPI # 1093921975
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 05/15/2007
Last updated 08/31/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # DP00435
Hospital affiliation(s)
  • PROVIDENCE PORTLAND MEDICAL CENTER - (Acute Care)
    4805 NE GLISAN STREET
    PORTLAND, OR 97213
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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