Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | MD18869 | OR |
N | 207R00000X | Internist | MD18869 | OR |
N | 111NI0900X | Internist | MD18869 | OR |
NPI | 1528009370 |
---|---|
Provider Name | Ruth Ann Lowengart |
First Address | Medford, OR 97504-8125 |
Second Address | Medford, OR 97504-8125 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
068655 | (05) | OR |
F92974 | (02) | OR |