Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | DO15171 | OR |
NPI | 1083649974 |
---|---|
Provider Name | Meredith L Lowry |
First Address | Ashland, OR 97520-1897 |
Second Address | Ashland, OR 97520-1897 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 29/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
286762 | (05) | OR |