Individual provider · Type 1 NPI
Kandice Sue Bowman, PNP
Pediatric Nurse Practitioner · Portland, OR
NPI number
1457404758
Active
Practice location
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Fax (503) 494-4631
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 200150120NP (OR) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1457404758
Kandice Sue Bowman, PNP's National Provider Identifier is 1457404758, issued on Jan 19, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Portland, OR. The record was last updated on Jun 4, 2009.