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NPI Code Detail

MEDICARE: BRETT STEVEN COWLEY

MEDICARE: BRETT STEVEN COWLEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorC8258OR

General Provider Information

NPI Number : 1093325995
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRETT STEVEN COWLEY
Provider Business Mailing Address
First Line : 2577 NE COURTNEY DR
Second Line :
City : BEND
State : OR
Zip : 97701-7752
Country : US
Telephone Number : 541-322-7500
Fax Number : 541-322-7565
Provider Business Practice Location Address
First Line : 2577 NE COURTNEY DR
Second Line :
City : BEND
State : OR
Zip : 97701-7752
Country : US
Telephone Number : 541-322-7500
Fax Number : 541-322-7565
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2020
Last Update Date : 05/26/2026

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Directions to “ BRETT STEVEN COWLEY ” Practice Location

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