Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 176B00000X | Midwife | CNM0672 |
NPI | 1093098964 |
---|---|
Provider Name | Sabrina Maria Bowers |
First Address | Portland, OR 97208-4825 |
Second Address | Portland, OR 97239-3011 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2011 |
Last Update Date | 04/06/2021 |