Search › Oregon › 363LA2100X
Derek Bowers, ACNP-BC
NPI 1417284175 · on the registry since 2009 · sole proprietor
Practice
- Address
- 2836 Ne Bryce St
Portland, OR 97212 - Phone
- (615) 330-2032
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Also registered as
- 363LA2100X
- Licence states on file
- TN, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-06-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon