Individual provider · Type 1 NPI

Shasta Bowen

Student in an Organized Health Care Education/Training Program · Redmond, OR

NPI number 1104741859 Active

Practice location

735 SW 9th St
Redmond, OR 97756-2726

Call (541) 699-6998 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104741859

Shasta Bowen's National Provider Identifier is 1104741859, issued on Aug 12, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Redmond, OR. The record was last updated on Aug 12, 2026.